Organization
HOSPITAL AUTHORITY OF RANDOLPH COUNTY
Active
Other names
CUTHBERT SURGICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY L FLYNT (BUSINESS OFFICE MANAGER)
(229) 777-4514
Entity
Organization
Contact information
Practice address
125 MCDONALD AVE, CUTHBERT, GA 39840-5829
(229) 209-1322
(229) 209-1324
Mailing address
361 RANDOLPH ST, CUTHBERT, GA 39840-6127
(229) 732-2181
(229) 209-1324
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
048502
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000320427D
—
GA
Enumeration date
10/27/2005
Last updated
11/06/2012
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