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414 S Frontage Rd Lot 53 Forsyth GA 31029-3025 | |
(229) 273-8881 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 414 S Frontage Rd Lot 53, Forsyth, Georgia |
Authorized Official Name and Position | Linda Young (EXECUTIVE SECRETARY) |
Authorized Official Contact | 2292738881 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 5610 Cordele GA 31010-5610 Ph: () - | 414 S Frontage Rd Lot 53 Forsyth GA 31029-3025 Ph: (229) 273-8881 |
NPI Number | 1437798725 |
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Provider Enumeration Date | 01/03/2020 |
Last Update Date | 05/21/2020 |
Identifier | Type | State | Issuer |
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1437798725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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