Southside Medical Center, Inc
Southside Medical Center, Inc is a Federally Qualified Health Center (FQHC) in Lawrenceville, Georgia. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1030 Old Peachtree Rd NW Ste 402Lawrenceville, GA 30043-3308
Phone: (770) 495-6222
Fax: (770) 495-9959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|
Record details
| NPI number | 1861129850 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Claudio Azzariti — Cfo · (404) 564-7009 |
| NPI enumerated | August 1, 2022 |
| Last updated in NPPES | November 30, 2022 |
| Certification date | November 30, 2022 |
| Mailing address | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
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