# PHOEBE PHYSIATRY

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

## Provider details

- **NPI number:** 1295055861
- **Legal business name:** PHOEBE PHYSICIAN GROUP INC
- **Authorized official:** ROBERT LAGESSE (SR VP PHYS PRACTICES)
- **Authorized official phone:** (229) 312-1000

## Contact information

- **Practice address:** 425 W 3RD AVE, 105, ALBANY, GA 31701-1941
- **Practice address phone:** (229) 312-5080
- **Practice address fax:** (229) 312-5085
- **Mailing address:** 425 W 3RD AVE, 105, ALBANY, GA 31701-1941
- **Mailing address phone:** (229) 312-5080
- **Mailing address fax:** (229) 312-5085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 064173 | GA | Yes |

## Other

- **Enumeration date:** 06/07/2010
- **Last updated:** 06/07/2010