SOUTHSIDE MEDICAL CENTER, INC. is a federally qualified health center (fqhc) clinic center in Forest Park, GA. SOUTHSIDE MEDICAL CENTER, INC. NPI is 1730207663. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Southside Healthcare.
The provider's business location address is:
4945 GOVERNORS DR
FOREST PARK, GA
ZIP 30297-134
Phone: (470) 426-8028
The provider's authorized official is Claudio Azzariti .
The authorized official title is Cfo and has the following contact phone number (404) 564-7009.
The enumeration date for this NPI number is 3/27/2007 and was last updated on 1/19/2017.