Organization
PMS 68 LLC
Active
Other names
d/b/a Grady primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY ANN HARBIN M.D (OWNER)
(229) 378-2214
Entity
Organization
Contact information
Practice address
235 1ST AVE NE, CAIRO, GA 39828-2118
(229) 378-2214
(833) 386-7012
Mailing address
235 1ST AVE NE, CAIRO, GA 39828-2118
(229) 378-2214
(833) 386-7012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009544125
—
GA
Enumeration date
08/09/2020
Last updated
09/02/2021
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