NPI | 1629510466 |
---|---|
Doing Business As | SOUTHSIDE MEDICAL CENTER AT DOBBS ELEMENTARY |
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 | 2016-11-10 |
Last Update Date | 2024-07-18 |