| Organization Name: | SOUTHWEST GEORGIA HEALTH CARE, INC. |
| NPI Number: | 1124266499 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA YOUNG (ADMIN. SECRETARY) |
| Mailing Address: | 602 East 16th Avenue Suite B Cordele |
| State: | GA US |
| Postal Code: | 310151782 |
| Phone Number: | 2292719330 |
| Fax Number: | 2292719245 |
| NPI Enumeration Date: | 01/26/2009 |
| NPI Last Update Date: | 05/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |