SOUTH CENTRAL PRIMARY CARE CENTER, INC

VALDOSTA, GA
NPI1639664303
Doing Business AsNORTHSIDE FAMILY HEALTH CENTER
Entity TypeOrganization
Authorized ContactROBERT B TUCKER
CEO
229-468-9166
Organization Subpart ?No
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Enumeration Date2018-06-26
Last Update Date2018-07-09
Business Address
SOUTH CENTRAL PRIMARY CARE CENTER, INC
247 NORTHSIDE DR STE B
VALDOSTA, GA 31602
Phone number: 229-253-1206
Mailing Address
SOUTH CENTRAL PRIMARY CARE CENTER, INC
PO BOX 749
OCILLA, GA 31774-0749
Phone number: 229-468-9166