# SUMTER SPECIALTY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHOEBE PHYSICIAN GROUP INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265742076
- **Legal business name:** PHOEBE PHYSICIAN GROUP INC
- **Authorized official:** ROBERT LAGESSE (SR VP PHYSICIAN PRACTICES)
- **Authorized official phone:** (229) 312-1000

## Contact information

- **Practice address:** 120 HIGHWAY 280 W, AMERICUS, GA 31719-8645
- **Practice address phone:** (229) 931-1159
- **Practice address fax:** (229) 931-1160
- **Mailing address:** 120 HIGHWAY 280 W, AMERICUS, GA 31719-8645
- **Mailing address phone:** (229) 931-1159
- **Mailing address fax:** (229) 931-1160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/14/2010
- **Last updated:** 10/14/2010