340B Drug Pricing Program Database

Name

SOUTH CENTRAL PRIMARY CARE CENTER

Subdivision Name

South Central Family Medicine

Type

HRSA-Funded Health Center

Site ID

BPS-H80-017774

340B ID

CHC00836-02

Grant Number

H80CS00836

Current Program Status

Active

Registration Date

6/9/2009

Participating Start Date

7/1/2009

Participating Approval Date

6/15/2009

Last Recertification Date

2/10/2025

Authorizing Official

South Central Primary Care Center, Inc.
Robert B. Tucker, CEO
(229) 468-9166 Ext: 1

Primary Contact

South Central Primary Care Center, Inc.
Judy Swanson, Nurse Manager
(229) 468-9166

Street Address

640 Main St N
Pearson, GA 31642-7549

Billing Address

SOUTH CENTRAL PRIMARY CARE CENTER, INC.
PO BOX 749
OCILLA, GA 31774