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Organization
GRADY GENERAL HOSPITAL
Active
Organization
GRADY GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY S. HEMBREE (CFO)
(229) 228-2880
Entity
Organization
Contact information
Practice address
1155 5TH ST SE, CAIRO, GA 39828-3142
(229) 377-1150
(229) 377-7953
Mailing address
920 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 228-8800
(229) 228-8892
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
065-413
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000844A
—
GA
01
—
000020
BC/BS GA
GA
01
—
110121A000000
TRAILBLAZER
GA
Enumeration date
05/20/2006
Last updated
03/08/2017
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