| South Central Primary Care Center, Inc | |
|
15 S Railroad St Lenox GA 31637-7424 | |
| (229) 546-4206 | |
| (229) 546-4612 |
| Full Name | South Central Primary Care Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 15 S Railroad St, Lenox, Georgia |
| Authorized Official Name and Position | Robert Bonds Tucker (CEO) |
| Authorized Official Contact | 2294689166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Primary Care Center, Inc Po Box 749 Ocilla GA 31774-0749 Ph: (229) 468-9166 | South Central Primary Care Center, Inc 15 S Railroad St Lenox GA 31637-7424 Ph: (229) 546-4206 |
| NPI Number | 1548768625 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 11/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548768625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |