NPI 1053789511
Southside Medical Center, INC
Practice location
- Address
- 409 W Solomon St, Griffin, GA 30223-2831
- Phone
- (678) 688-8700
- Mailing address
- 1046 Ridge Ave SW, Atlanta, GA 30315-1640
Authorised official
- Name
- Masresha Kassa
- Title
- Cfo
- Phone
- (404) 688-1350
Registered specialties
Federally Qualified Health Center (FQHC)
Primary
Registry record
- NPI
- 1053789511
- Entity type
- Organization
- NPI issued
- 14 Sep 2015
- Record last updated
- 9 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.