Organization
PHOEBE FAMILY MEDICINE,COFFEE COUNTY
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 PHYSICIAN PRACTICES)
(229) 312-1000
Entity
Organization
Contact information
Practice address
200 DOCTORS DR, STE 224, DOUGLAS, GA 31533-2201
(912) 384-2353
(912) 383-4643
Mailing address
500 W 3RD AVE, STE 101, ALBANY, GA 31701-1985
(229) 312-5800
(229) 312-5853
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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