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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