PRIMARY CARE OF SOUTHWEST GEORGIA INC. NPI 1790223352

NPI Information

PRIMARY CARE OF SOUTHWEST GEORGIA, INC. is a federally qualified health center (fqhc) clinic center in Quitman, GA. PRIMARY CARE OF SOUTHWEST GEORGIA, INC. NPI is 1790223352. The provider is registered as an organization entity type.
The provider Is Doing Business As Primary Care Of Southwest Georgia- Quitman.

The provider's business location address is:

907 N COURT ST
QUITMAN, GA
ZIP 31643-315
Phone: (229) 263-4531
Fax: (229) 263-5787

The provider's authorized official is Edwin James .
The authorized official title is Cfo and has the following contact phone number (229) 723-2660.

The CLIA number assigned to this NPI record is 11D1049998 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/3/2017 and was last updated on 2/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.