Organization
HOSPITAL AUTHORITY OF MITCHELL COUNTY
Active
Organization
HOSPITAL AUTHORITY OF MITCHELL COUNTY
Active
Other names
Medical Group of Mitchell County
Organization subpart
No
Provider details
NPI number
Authorized official
GREG HEMBREE (SENIOR VP/CFO)
(229) 228-2853
Entity
Organization
Contact information
Practice address
259 US HIGHWAY 19 NORTH, CAMILLA, GA 31730-1410
(229) 336-1949
(229) 336-1436
Mailing address
920 CAIRO ROAD, THOMASVILLE, GA 31792
(229) 227-5500
(229) 227-5505
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
101120
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D1056726
CLIA
GA
05
—
841859123C
—
GA
Enumeration date
05/08/2007
Last updated
04/25/2019
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