NPI 1063840296
South Central Primary Care Center, INC
Practice location
- Address
- 303 Shirley Ave STE B, Douglas, GA 31533
- Phone
- (912) 384-2474
- Fax
- (912) 384-4995
- Mailing address
- 204 E 4th St P O Box 749, Ocilla, GA 31774-1539
Authorised official
- Name
- Robert B Tucker
- Title
- Ceo
- Phone
- (229) 468-9166
Registered specialties
Federally Qualified Health Center (FQHC)
Primary
Registry record
- NPI
- 1063840296
- Entity type
- Organization
- NPI issued
- 25 Oct 2013
- Record last updated
- 3 Apr 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.