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CH044369B PRIMARY CARE OF SOUTHWEST GEORGIA, INC. (Active)
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Main Details
Name
PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
Subdivision Name
PCSG - Thomasville
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013238
340B ID
CH044369B
Grant Number
H80CS06454
Additional Details
Current Program Status
Active
Registration Date
7/11/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/23/2014
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Primary Care of Southwest Georgia
EDWIN JAMES, CFO
(229) 723-2660 Ext: 2131
Primary Contact
Primary Care of Southwest Georgia
Melody Parker, Pharmacy Manager
(229) 516-8877
Addresses
Street Address
454 Smith Ave
Thomasville, GA 31792-5535
Billing Address
Primary Care of Southwest Georgia, Inc.
360 College St
Blakely, GA 39823
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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