| NPI | 1588088025 |
|---|---|
| Doing Business As | SOUTHSIDE MEDICAL CENTER - JACKSON CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID M WILLIAMS CEO 404-688-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2015-09-14 |