OrganizationActive
Advanced Medical Group LLC
NPI 1295784270 · Community/Retail Pharmacy · Thomasville, GA
Provider details
- NPI number
- 1295784270
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Vance Wall, Ceo(678) 689-2388
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Practice location
108 S Broad St
Thomasville, GA 31792-5541
Phone: (229) 226-2535
Fax: (229) 226-2537
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1860
Langley, SC 29834-1860
Other names (DBA / former)
- Doing business as
- Thomas Drug Store
- Doing business as
- Thomas Drug Store
Registry dates
- Enumerated
- 2006-05-08
- Last updated
- 2022-03-31
- Certified
- 2022-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.