Organization
PHYSICIANS CARE OF THOMASVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUEY RANDOLPH KIDD DO (OWNER/MANAGER)
(334) 636-5311
Entity
Organization
Contact information
Practice address
33621 HIGHWAY 43, THOMASVILLE, AL 36784-3347
(334) 636-5311
(334) 636-2280
Mailing address
33621 HIGHWAY 43, THOMASVILLE, AL 36784-3347
(334) 636-5311
(334) 636-2280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
AL
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
09/14/2005
Last updated
07/21/2022
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