Organization
HOSPITAL AUTHORITY OF MITCHELL COUNTY
Active
Other names
Camilla Family Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GREG HEMBREE (SENIOR VP/CFO)
(229) 228-2853
Entity
Organization
Contact information
Practice address
25 PERRY ST, CAMILLA, GA 31730-1852
(229) 336-1499
(229) 336-1534
Mailing address
920 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 227-5500
(229) 227-5505
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
101-120
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001339T
—
GA
Enumeration date
07/05/2006
Last updated
04/25/2019
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