Organization
JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.
Active
Other names
Archbold - Grady Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY S. SCOTT (CFO)
(229) 228-2880
Entity
Organization
Contact information
Practice address
1155 5TH ST SE, CAIRO, GA 39828-3142
(229) 377-2718
Mailing address
920 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 228-8800
(229) 228-8892
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136-91
PERMIT
GA
Enumeration date
03/15/2007
Last updated
03/08/2017
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