Organization
CCSG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY HEMBREE (CHIEF FINANCIAL OFFICER)
(229) 228-2853
Entity
Organization
Contact information
Practice address
116 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 551-0083
Mailing address
116 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 551-0083
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
03/30/2015
Last updated
11/03/2020
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