Organization
DMC PHYSICIAN GROUP LLC
Active
Other names
DMC SURGICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE WYNN (CEO)
(229) 424-7100
Entity
Organization
Contact information
Practice address
119 NORMAN DORMINY DR, FITZGERALD, GA 31750-9068
(229) 423-5843
Mailing address
200 PERRY HOUSE RD, FITZGERALD, GA 31750-8857
(229) 424-7100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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