| NPI | 1821471277 |
|---|---|
| Doing Business As | PRIMARY CARE OF SOUTHWEST GEORGIA- BAINBRIDGE |
| Entity Type | Organization |
| Authorized Contact | EDWIN JAMES Chief Financial Officer 229-723-2660 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |