# PHOEBE DORMINY MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phoebe Dorminy Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891083085
- **Authorized official:** MR. PAIGE P WYNN (CFO)
- **Authorized official phone:** (229) 424-7100

## Contact information

- **Practice address:** 200 PERRY HOUSE RD, FITZGERALD, GA 31750-8857
- **Practice address phone:** (229) 424-7100
- **Practice address fax:** (229) 424-7281
- **Mailing address:** 200 PERRY HOUSE RD, FITZGERALD, GA 31750-8857
- **Mailing address phone:** (229) 424-7100
- **Mailing address fax:** (229) 424-7281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 07/21/2011
- **Last updated:** 11/08/2011