Organization
ARCHBOLD MEDICAL GROUP
Active
Other names
Archbold Neurosurgery Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES HIGHTOWER (CFO)
(229) 228-2853
Entity
Organization
Contact information
Practice address
704 SOUTH BROAD STREET, THOMASVILLE, GA 31792-6107
(229) 226-8880
(229) 227-5370
Mailing address
704 S BROAD ST, THOMASVILLE, GA 31792-6107
(229) 226-8880
(229) 227-5370
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
20448
GA
207T00000X
Neurological Surgery Physician
32907
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
041159
GA
2084N0400X
Neurology Physician
36812
GA
2084N0400X
Neurology Physician
53520
GA
Other
Enumeration date
10/02/2006
Last updated
07/09/2014
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