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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