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SOUTHWEST GEORGIA HEALTHCARE CLINICS INC NPI 1962467217


NPI Information

NPI: 1962467217
Provider Name: SOUTHWEST GEORGIA HEALTHCARE CLINICS, INC

Former Legal Business Name: SOUTHWEST GEORGIA HEALTHCARE CLINICS WOMEN'S CTN

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
900 N WILEY AVE
DONALSONVILLE, GA
ZIP 39845
Phone: (229) 524-8489
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SOUTHWEST GEORGIA HEALTHCARE CLINICS, INC is a federally qualified health center (fqhc) clinic center in Donalsonville, GA. SOUTHWEST GEORGIA HEALTHCARE CLINICS, INC NPI is 1962467217. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Southwest Georgia Healthcare Clinics Women's Ctn.

The provider's business location address is:

900 N WILEY AVE
DONALSONVILLE, GA
ZIP 39845-127
Phone: (229) 524-8489
Fax: (229) 524-6237

The provider's authorized official is James Moody .
The authorized official title is Cfo and has the following contact phone number (229) 524-5217.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 8/11/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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