Organization
PHOEBE PHYSIATRY
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 PHYS PRACTICES)
(229) 312-1000
Entity
Organization
Contact information
Practice address
425 W 3RD AVE, 105, ALBANY, GA 31701-1941
(229) 312-5080
(229) 312-5085
Mailing address
425 W 3RD AVE, 105, ALBANY, GA 31701-1941
(229) 312-5080
(229) 312-5085
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
064173
GA
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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