Organization
JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.
Active
Other names
Grady County Dialysis Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY S. HEMBREE (CFO)
(229) 228-2880
Entity
Organization
Contact information
Practice address
1182 5TH ST SE, CAIRO, GA 39828-3141
(229) 377-9606
(229) 377-8804
Mailing address
920 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 228-8800
(229) 228-8892
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001128
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000710322A
—
GA
Enumeration date
07/06/2006
Last updated
03/03/2017
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