Archbold - Grady Specialty Clinic | |
1155 5th St Se Cairo GA 39828-3142 | |
(229) 377-2718 | |
Not Available |
Full Name | Archbold - Grady Specialty Clinic |
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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 |
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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 |
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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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D/b/a Grady Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 235 1st Ave Ne, Cairo, GA 39828 Phone: 229-378-2214 Fax: 833-386-7012 | |
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Angels Of Grace Community Wellness Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 Martin Luther King Jr Ave Sw, Cairo, GA 39828 Phone: 229-397-9355 | |
Wellness Life Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1842 Us Highway 84 W, Cairo, GA 39827 Phone: 229-377-2002 Fax: 229-377-0930 | |
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