Southwest Ga Primary Care, LLC
Southwest Ga Primary Care, LLC is a Primary Care Clinic/Center in Ellaville, Georgia. Licensed in Georgia. Registered with an NPI since 2013.
- Licensed in
- GA
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
93 S Broad StEllaville, GA 31806-0989
Phone: (229) 410-9965
Fax: (229) 937-9007
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 33367 (GA) |
|---|
Record details
| NPI number | 1629400312 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Linda Hamsley — Owner · (229) 410-9965 |
| NPI enumerated | August 5, 2013 |
| Last updated in NPPES | June 5, 2014 |
| Mailing address | Po Box 989, Ellaville, GA 31806-0989 |