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CH044369F 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 . - TCMS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021150
340B ID
CH044369F
Grant Number
H80CS06454
Additional Details
Current Program Status
Active
Registration Date
7/12/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/16/2018
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
4681 US Hwy 84 Bypass
Thomasville, GA 31792
Billing Address
Primary Care of Southwest Georgia
360 College Street
Blakely, GA 39823
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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