Primary Care Of Southwest Georgia, Inc.
LBN: Primary Care Of Southwest Georgia, Inc.
Primary Care Of Southwest Georgia, Inc. is an health care organization with primary practice located at 454 Smith Ave , Thomasville GA 31792-5535. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Primary Care Of Southwest Georgia, Inc. can be contacted via phone (229) 227-5510, or through Mcvey, Angela via phone (229) 723-2660.
Contact Information
Primary practice address
454 Smith Ave
Thomasville GA 31792-5535
Phone: (229) 227-5510
Fax: (229) 227-5527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1366641318 |
|---|---|
| LBN Legal business name | Primary Care Of Southwest Georgia, Inc. |
| DBA Doing business as | |
| Authorized official | Mcvey, Angela |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 11th, 2007 |
| Last updated | Mar 3rd, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366641318 | NPPES |
| Georgia | MEDICAID | 024893266C |
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