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Contact Information

ARCHBOLD MEDICAL GROUP
704 SOUTH BROAD STREET
THOMASVILLE, GA31792-6107
 Phone: 229-226-8880
 Fax: 229-227-5370
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Neurology

2084N0400X 13 Physician/Neurology
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ARCHBOLD MEDICAL GROUP · (Female)

NPI Number 1104910520
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2006
Last updated 07/09/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 041159
  • GA License # 20448
  • GA License # 32907
  • GA License # 36812
  • GA License # 53520
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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