Organization
SUMTER ORTHOPEDIC
Active
Parent organization
PHOEBE PHYSICIAN GROUP INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOEBE PHYSICIAN GROUP INC
Authorized official
ROBERT LAGESSE (SR VP PHYSICIAN GROUP INC)
(229) 312-1000
Entity
Organization
Contact information
Practice address
132 HIGHWAY 280 W, AMERICUS, GA 31719-8645
(229) 931-1159
(229) 931-1160
Mailing address
132 HIGHWAY 280 W, AMERICUS, GA 31719-8645
(229) 931-1159
(229) 931-1160
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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