# PMS 68 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** d/b/a Grady primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124638614
- **Authorized official:** DR. KIMBERLY ANN HARBIN M.D (OWNER)
- **Authorized official phone:** (229) 378-2214

## Contact information

- **Practice address:** 235 1ST AVE NE, CAIRO, GA 39828-2118
- **Practice address phone:** (229) 378-2214
- **Practice address fax:** (833) 386-7012
- **Mailing address:** 235 1ST AVE NE, CAIRO, GA 39828-2118
- **Mailing address phone:** (229) 378-2214
- **Mailing address fax:** (833) 386-7012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/09/2020
- **Last updated:** 09/02/2021
