| NPI | 1083145981 |
|---|---|
| Doing Business As | FCPC SOUTH MACON FAMILY PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | KATHERINE MCLEOD CEO 478-787-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: GA 1001878) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2025-02-20 |