Whalio Doctors

NPI 1063840296

South Central Primary Care Center, INC

Organisation Federally Qualified Health Center (FQHC) Douglas, GA

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
Ambulatory Health Care Facilities Taxonomy 261QF0400X

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.