| Organization Name: | ARCHBOLD MEDICAL GROUP, INC. |
| NPI Number: | 1508132887 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES D HIGHTOWER (SENIOR VP/CFO) |
| Mailing Address: | 2621 E Pinetree Blvd Thomasville |
| State: | GA US |
| Postal Code: | 317924840 |
| Phone Number: | 2292265788 |
| Fax Number: | 2292262548 |
| NPI Enumeration Date: | 03/30/2012 |
| NPI Last Update Date: | 07/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |