Organization
CAIRO MEDICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARLAND ASHLEY REGISTER JR. M.D. (OWNER)
(229) 377-2002
Entity
Organization
Contact information
Practice address
1178 5TH ST SE, CAIRO, GA 39828-3141
(229) 377-2002
(229) 377-0930
Mailing address
1178 5TH ST SE, CAIRO, GA 39828-3141
(229) 377-2002
(229) 377-0930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
035312
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000503654D
—
GA
Enumeration date
10/16/2006
Last updated
03/25/2010
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