| Archbold - Brooks Specialty Clinic | |
|
1309 W Screven St Quitman GA 31643-1819 | |
| (229) 266-7868 | |
| Not Available |
| Full Name | Archbold - Brooks Specialty Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1309 W Screven St, Quitman, Georgia |
| Authorized Official Name and Position | Gregory S. Hembree (CFO) |
| Authorized Official Contact | 2292282880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archbold - Brooks Specialty Clinic 920 Cairo Rd Thomasville GA 31792-4255 Ph: (229) 228-8800 | Archbold - Brooks Specialty Clinic 1309 W Screven St Quitman GA 31643-1819 Ph: (229) 266-7868 |
| NPI Number | 1619009966 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 03/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619009966 | NPI | - | NPPES |
| 136-91 | Other | GA | PERMIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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Archbold Brooks Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1309 W Screven St, Quitman, GA 31643 Phone: 229-227-5158 |