Archbold Medical Group
Organization Active NPI Family Medicine Physician · Monticello, FL
NPI 1124051040 · NPPES record last updated Oct 7, 2009
Key facts
- NPI
- 1124051040
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME0085940 (FL)
- Legal business name
- ARCHBOLD MEDICAL GROUP
- Practice address
- 555 N Jefferson St
Monticello, FL 32344-2060 - Phone
- (850) 997-2511
- Fax
- (850) 997-3022
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Charles D Hightower
- Title
- Chief Financial Officer
- Phone
- (229) 228-2853
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | ME0085940 | FL | Yes |
Addresses
Primary practice location
555 N Jefferson St
Monticello, FL 32344-2060
Mailing address
900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10D0270322 | Other | CLIA | |
| 267978700 | Medicaid | FL |
Other names
- Gerry Medical Center
Other providers in Monticello, FL
- Alliance Family Resource Services
- Angels on Assignment
- Apalachee Center Inc
- Apalachee Center, Inc
- Jonathan S Appelbaum
- Attentive in Home Care
- Brian Thomas Ballard
- Katherine Bass
- Be Reformed
- Sarah Bishop
All providers in Monticello, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.