SOUTHSIDE MEDICAL CENTER, INC is a federally qualified health center (fqhc) clinic center in Atlanta, GA. SOUTHSIDE MEDICAL CENTER, INC NPI is 1548750573. The provider is registered as an organization entity type.
The provider's business location address is:
540 FAYETTEVILLE RD SE
ATLANTA, GA
ZIP 30316-306
Phone: (404) 688-1350
The provider's authorized official is Claudio Azzariti .
The authorized official title is Cfo and has the following contact phone number (404) 688-1350.
The CLIA number assigned to this NPI record is 11D0927068 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 5/15/2018 and was last updated on 5/15/2018.