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1114755931
SOUTH CENTRAL PRIMARY CARE
VALDOSTA, GA
NPI
1114755931
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Entity Type
Organization
Authorized Contact
ROBERT BONDS TUCKER
CEO
229-468-9166
Organization Subpart ?
No
Primary Taxonomy
3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date
2024-07-23
Last Update Date
2024-10-22
Business Address
SOUTH CENTRAL PRIMARY CARE
2301 N ASHLEY ST
VALDOSTA, GA 31602-2620
Phone number: 229-270-2403
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Mailing Address
SOUTH CENTRAL PRIMARY CARE
PO BOX 749
OCILLA, GA 31774-0749
Phone number: 229-468-9166
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