NPI | 1053789511 |
---|---|
Doing Business As | SOUTHSIDE MEDICAL CENTER - SPALDING COUNTY |
Entity Type | Organization |
Authorized Contact | CLAUDIO AZZARITI CFO 404-688-1350 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-09-14 |
Last Update Date | 2024-12-12 |