| Organization Name: | FIRST CHOICE PRIMARY CARE, INC. |
| NPI Number: | 1023492162 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHERINE MCLEOD (CEO) |
| Mailing Address: | 171 Emery Hwy Macon |
| State: | GA US |
| Postal Code: | 312173666 |
| Phone Number: | 4787874266 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2015 |
| NPI Last Update Date: | 07/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | 26859 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |