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Organization

DMC PHYSICIAN GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAIGE WYNN (INTERIM CEO)
(478) 289-1376
Entity
Organization

Contact information

Practice address
200 PERRY HOUSE RD, FITZGERALD, GA 31750-8857
(229) 424-7260
Mailing address
200 PERRY HOUSE RD, FITZGERALD, GA 31750-8857
(229) 424-7260

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
208600000X
Surgery Physician
208M00000X
Hospitalist Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary
261QR1300X
Rural Health Clinic/Center
273R00000X
Psychiatric Hospital Unit
282NR1301X
Rural Acute Care Hospital
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
05/27/2014
Last updated
05/19/2025
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