Organization
JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.
Active
Other names
Decatur County Dialysis Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY S. HEMBREE (CFO)
(229) 228-2880
Entity
Organization
Contact information
Practice address
700 GORDON AVE, BAINBRIDGE, GA 39819-5713
(229) 243-0280
(229) 243-0313
Mailing address
920 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 228-8800
(229) 228-8892
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001010
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000407316A
—
GA
Enumeration date
07/06/2006
Last updated
03/08/2017
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