MEDICARE: QUAIL RIDGE FAMILY PRACTICE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician		GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457314999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUAIL RIDGE FAMILY PRACTICE, LLC

Provider Business Mailing Address
First Line	:	1 DOCTORS PARK
Second Line	:
City	:	CAIRO
State	:	GA
Zip	:	39828-3072
Country	:	US
Telephone Number	:	229-378-8110
Fax Number	:	229-378-8109

Provider Business Practice Location Address
First Line	:	1 DOCTORS PARK
Second Line	:
City	:	CAIRO
State	:	GA
Zip	:	39828
Country	:	US
Telephone Number	:	229-378-8110
Fax Number	:	229-378-8109

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARK C HUDSON
Credential	:	D.O.
Telephone Number	:	229-378-8110

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	07/05/2018

Similar Medicare Providers

1003815382 — RHODES ASSOCIATES INC
Practice Location Address:

445 9TH AVE SE
CAIRO, GA
39828-3187

Practice Phone: 229-377-4304
Practice Fax: 229-377-3929

1942202056 — MR. DREW ANTHONY PYRZ R.PH.
Practice Location Address:

300 2ND AVE SE
CAIRO, GA
39828-2726

Practice Phone: 229-377-9017
Practice Fax: 229-377-3994

1053309526 — MRS. LAURA NICHOLE LEE FNP-C
Practice Location Address:

980 4TH ST SE
CAIRO, GA
39828-3064

Practice Phone: 229-377-2002
Practice Fax:

1073598157 — MS. FRANCES M. YOUMANS N.P.
Practice Location Address:

195 MARTIN LUTHER KING JR AVE SW
CAIRO, GA
39828-2605

Practice Phone: 229-397-9262
Practice Fax: 229-397-9263

1538138094 — DR. GARLAND A REGISTER JR.
Practice Location Address:

1178 5TH ST SE
CAIRO, GA
39828-3141

Practice Phone: 229-377-2002
Practice Fax: 229-377-0930

1588627632 — MR. ALTON K. DINKINS PA-C
Practice Location Address:

1 DOCTORS PARK
CAIRO, GA
39828-3072

Practice Phone: 229-378-8110
Practice Fax: 229-378-8109

Directions to “QUAIL RIDGE FAMILY PRACTICE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.