| Dr Gerald N Kadis, MD | |
|
704 S Broad St, Thomasville, GA 31792-6107 | |
| (229) 226-8880 | |
| (229) 226-6342 |
| Full Name | Dr Gerald N Kadis |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 704 S Broad St, Thomasville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942388087 | NPI | - | NPPES |
| 002340118A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 020448 (Georgia) | Primary |
| Entity Name | Archbold Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831353036 PECOS PAC ID: 8123196383 Enrollment ID: O20081001000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerald N Kadis, MD 900 Cairo Rd, Thomasville, GA 31792-4255 Ph: () - | Dr Gerald N Kadis, MD 704 S Broad St, Thomasville, GA 31792-6107 Ph: (229) 226-8880 |
Winston Craig Clark, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 704 S Broad St, Thomasville, GA 31792 Phone: 229-584-5760 Fax: 229-584-5945 | |
Dr. Griffin Richard Baum, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 S Broad St, Thomasville, GA 31792 Phone: 229-584-5760 Fax: 229-584-5945 | |
Dr. Brian K. Russell, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Mimosa Dr Ste 110, Thomasville, GA 31792 Phone: 850-999-4894 Fax: 850-668-0572 |