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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