Organization
BROOKS COUNTY HOSPITAL
Active
Organization
BROOKS COUNTY HOSPITAL
Active
Other names
Brooks Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES D. HIGHTOWER JR. (CHIEF FINANCIAL OFFICER)
(229) 228-2853
Entity
Organization
Contact information
Practice address
907 N COURT ST, QUITMAN, GA 31643-1315
(229) 263-4531
(229) 263-5787
Mailing address
920 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 227-5500
(229) 227-5505
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
014028
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000239T
—
GA
01
—
CLIA
11D0265680
GA
Enumeration date
07/06/2006
Last updated
05/06/2008
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