Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 1090 5th St Se, Cairo, Georgia |
Authorized Official Name and Position | Charles D Hightower (SENIOR VP/CFO) |
Authorized Official Contact | 2292282853 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
900 Cairo Rd Thomasville GA 31792-4255 Ph: () - | 1090 5th St Se Cairo GA 39828-3139 Ph: (229) 377-1100 |
NPI Number | 1265798185 |
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Provider Enumeration Date | 04/04/2012 |
Last Update Date | 07/09/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265798185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
The Pediatric Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 4th St Se, Cairo, GA 39828 Phone: 229-377-8560 Fax: 229-377-4606 | |
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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 | |