Organization
PHOEBE WORTH MEDICAL CENTER, INC
Active
Other names
Phoebe Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY FLYNT (BUSINESS OFFICE MANAGER)
(229) 777-4514
Entity
Organization
Contact information
Practice address
354 E WASHINGTON AVE, ASHBURN, GA 31714-5222
(229) 567-3361
Mailing address
PO BOX 545, 807 S ISABELLA STREET, SYLVESTER, GA 31791-0545
(229) 567-3361
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00002109C
—
GA
Enumeration date
12/13/2005
Last updated
11/13/2007
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