NPI | 1790223352 |
---|---|
Doing Business As | PRIMARY CARE OF SOUTHWEST GEORGIA- QUITMAN |
Entity Type | Organization |
Authorized Contact | EDWIN JAMES CFO 229-723-2660 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-02-03 |
Last Update Date | 2017-02-03 |