| Southwest Community Clinic | |
|
400 S Pinetree Blvd Thomasville GA 31792-7128 | |
| (229) 227-2990 | |
| (229) 225-4052 |
| Full Name | Southwest Community Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 400 S Pinetree Blvd, Thomasville, Georgia |
| Authorized Official Name and Position | Holly M Crowley (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2292272990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Community Clinic 400 S Pinetree Blvd Thomasville GA 31792-7128 Ph: (229) 227-2990 | Southwest Community Clinic 400 S Pinetree Blvd Thomasville GA 31792-7128 Ph: (229) 227-2990 |
| NPI Number | 1174942684 |
|---|---|
| Provider Enumeration Date | 04/11/2014 |
| Last Update Date | 04/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174942684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 51452 (Georgia) | Primary |
| 208D00000X | General Practice | 30647 (Georgia) | Secondary |
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