| 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 |