Organization
BROOKS COUNTY HOSPITAL
Active
Other names
The Boston Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GREG HEMBREE (SENIOR VP/CFO)
(229) 228-2853
Entity
Organization
Contact information
Practice address
118 NORTH MAIN STREET, BOSTON, GA 31626
(229) 498-8000
(229) 498-2001
Mailing address
920 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 227-5500
(229) 227-5505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
014028
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D1066336
CLIA
—
Enumeration date
05/02/2007
Last updated
04/25/2019
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