SOUTH CENTRAL PRIMARY CARE CENTER, INC is a federally qualified health center (fqhc) clinic center in Valdosta, GA. SOUTH CENTRAL PRIMARY CARE CENTER, INC NPI is 1639664303. The provider is registered as an organization entity type.
The provider Is Doing Business As Northside Family Health Center.
The provider's business location address is:
247 NORTHSIDE DR STE B
VALDOSTA, GA
ZIP 31602
Phone: (229) 253-1206
Fax: (229) 253-1209
The provider's authorized official is Robert B Tucker .
The authorized official title is Ceo and has the following contact phone number (229) 468-9166.
The CLIA number assigned to this NPI record is 11D2232426 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/26/2018 and was last updated on 7/9/2018.