Organization
HOSPITAL AUTHORITY OF RANDOLPH COUNTY
Active
Other names
Randolph Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KIM GILMAN (CEO)
(229) 732-2181
Entity
Organization
Contact information
Practice address
125 MCDONALD AVE, CUTHBERT, GA 39840-5829
(229) 732-3721
(229) 732-6528
Mailing address
361 RANDOLPH ST, CUTHBERT, GA 39840-6127
(229) 732-3721
(229) 732-6528
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001427C
—
GA
Enumeration date
06/09/2005
Last updated
03/01/2016
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