Organization
ADVANCED MEDICAL GROUP LLC
Active
Other names
Thomas Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE D RAWLINS (COMPLIANCE)
(678) 689-2389
Entity
Organization
Contact information
Practice address
816 GORDON AVE, THOMASVILLE, GA 31792-6611
(229) 226-4201
(229) 226-4206
Mailing address
PO BOX 1860, LANGLEY, SC 29834-1860
(229) 226-4201
(229) 226-4206
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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