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General NPI Number Information
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NPI Number | 1194779702
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Entity Type | Organization
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Legal Business Name | JOHN D ARCHBOLD MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 915 GORDON AVE
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City | THOMASVILLE
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State | GA
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Zip | 31792-6614
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Country | US
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Telephone | 229-228-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 920 CAIRO RD
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City | THOMASVILLE
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State | GA
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Zip | 31792-4255
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Country | US
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Telephone | 229-228-8800
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Fax | 229-228-8892
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Authorized Official
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Title or Position | CFO
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Name | MR. GREGORY S. HEMBREE
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Credential |
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Telephone | 229-228-2880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 136-91
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License Number State | GA
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