# ARCHBOLD PHYSICAL MEDICINE AND REHAB OF SOUTH GEORGIA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ARCHBOLD MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063856243
- **Legal business name:** ARCHBOLD MEDICAL GROUP
- **Authorized official:** MR. CHARLES HIGHTOWER (CFO)
- **Authorized official phone:** (229) 228-2853

## Contact information

- **Practice address:** 334 SMITH AVE, THOMASVILLE, GA 31792-5533
- **Practice address phone:** (229) 226-9412
- **Practice address fax:** (229) 226-4492
- **Mailing address:** 900 CAIRO RD, THOMASVILLE, GA 31792-4255
- **Mailing address phone:** (229) 227-5158
- **Mailing address fax:** (229) 227-5187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 041159 | GA | Yes |

## Other

- **Enumeration date:** 04/18/2013
- **Last updated:** 07/09/2014