| Archbold - Grady Specialty Clinic | |
|
1155 5th St Se Cairo GA 39828-3142 | |
| (229) 377-2718 | |
| Not Available |
| Full Name | Archbold - Grady Specialty Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1155 5th St Se, Cairo, Georgia |
| Authorized Official Name and Position | Gregory S. Scott (CFO) |
| Authorized Official Contact | 2292282880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archbold - Grady Specialty Clinic 920 Cairo Rd Thomasville GA 31792-4255 Ph: (229) 228-8800 | Archbold - Grady Specialty Clinic 1155 5th St Se Cairo GA 39828-3142 Ph: (229) 377-2718 |
| NPI Number | 1285768051 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 03/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285768051 | NPI | - | NPPES |
| 136-91 | Other | GA | PERMIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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Cairo Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1090 5th St Se, Cairo, GA 39828 Phone: 229-377-1100 | |
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