Organization
HOSPITAL AUTHORITY OF RANDOLPH COUNTY
Active
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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