Provider Demographics
NPI:1386814408
Name:FIRST CHOICE GROUP SERVICES INC.
Entity type:Organization
Organization Name:FIRST CHOICE GROUP SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:IGLESIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-743-8450
Mailing Address - Street 1:761 POPLAR ST STE 1L
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-2061
Mailing Address - Country:US
Mailing Address - Phone:478-743-8450
Mailing Address - Fax:
Practice Address - Street 1:761 POPLAR ST STE 1L
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2061
Practice Address - Country:US
Practice Address - Phone:478-743-8450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center