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CH044369E Primary Care Of Southwest Georgia, Inc. (Active)
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Main Details
Name
Primary Care Of Southwest Georgia, Inc.
Subdivision Name
Primary Care of Southwest Georgia - Quitman
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018970
340B ID
CH044369E
Grant Number
H80CS06454
Additional Details
Current Program Status
Active
Registration Date
4/12/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/24/2017
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
907 N. Court St
Quitman, GA 31643-1315
Billing Address
PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
360 COLLEGE STREET
BLAKELY, GA 39823
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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