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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

NPI Number 1104910520
LBN Legal business name ARCHBOLD MEDICAL GROUP
Authorized official CHARLES HIGHTOWER - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 07/09/2014 - About 12 years ago
Identifiers
GA License # 041159
GA License # 20448
GA License # 32907
GA License # 36812
GA License # 53520
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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