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ARCHBOLD MEDICAL GROUP INC. NPI 1508132887


NPI Information

NPI: 1508132887
Provider Name: ARCHBOLD MEDICAL GROUP, INC.

Doing Business As: ARCHBOLD MEDICAL GROUP

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 11D0700472

Address:
2621 E PINETREE BLVD
THOMASVILLE, GA
ZIP 31792
Phone: (229) 226-5788
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ARCHBOLD MEDICAL GROUP, INC. is a general practice in Thomasville, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ARCHBOLD MEDICAL GROUP, INC. NPI is 1508132887. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Archbold Medical Group.

The provider's business location address is:

2621 E PINETREE BLVD
THOMASVILLE, GA
ZIP 31792-840
Phone: (229) 226-5788
Fax: (229) 226-2548

The provider's authorized official is Charles D Hightower .
The authorized official title is Senior Vp/cfo and has the following contact phone number (229) 228-2853.

The CLIA number assigned to this NPI record is 11D0700472 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/30/2012 and was last updated on 7/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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