NPI

Advanced Medical Group, LLC

Doing business as Thomas Drug Store. NPI 1679811731

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2013-01-24
Last updated
2013-01-29

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Specialties

Licenses

License GA
PHRE009897

Location

Practice location
118 N Main St
City
Boston GA
Postal code
31626-2257
Phone
(229) 498-1018

Organization contact

Name
Vance Wall
Title
CEO/President
Phone
(877) 645-3506

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Boston, GA. 12 records in the public file.

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