| Primary Care of Southwest Georgia- Quitman | |
|
907 N Court St Quitman GA 31643-1315 | |
| (229) 263-4531 | |
| (229) 263-5787 |
| Full Name | Primary Care of Southwest Georgia- Quitman |
|---|---|
| Speciality | Clinic/Center |
| Location | 907 N Court St, Quitman, Georgia |
| Authorized Official Name and Position | Edwin James (CFO) |
| Authorized Official Contact | 2297232660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care of Southwest Georgia- Quitman 360 College St Blakely GA 39823-2554 Ph: (229) 723-2660 | Primary Care of Southwest Georgia- Quitman 907 N Court St Quitman GA 31643-1315 Ph: (229) 263-4531 |
| NPI Number | 1790223352 |
|---|---|
| Provider Enumeration Date | 02/03/2017 |
| Last Update Date | 02/03/2017 |
| Medicare PECOS PAC ID | 5496777948 |
|---|---|
| Medicare Enrollment ID | O20170515001757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790223352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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