| Thomas Primary Care Clinic | |
|
440 Smith Ave Thomasville GA 31792-5535 | |
| (229) 227-5510 | |
| (229) 227-5527 |
| Full Name | Thomas Primary Care Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 440 Smith Ave, Thomasville, Georgia |
| Authorized Official Name and Position | Charles D. Hightower (CFO) |
| Authorized Official Contact | 2292282853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Primary Care Clinic 920 Cairo Rd Thomasville GA 31792-4255 Ph: (229) 228-8800 | Thomas Primary Care Clinic 440 Smith Ave Thomasville GA 31792-5535 Ph: (229) 227-5510 |
| NPI Number | 1851486005 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851486005 | NPI | - | NPPES |
| 000000063I | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 136-91 (Georgia) | Primary |
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