Individual
PHILLIP G. GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 CITY BLVD STE B, WAYCROSS, GA 31501-8016
(912) 279-4400
(912) 279-4408
Mailing address
P.O. BOX 764, 170 THORN RD, ALMA, GA 31510
(912) 632-6753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
026781
GA
207P00000X
Emergency Medicine Physician
LL24429
SC
Other
Enumeration date
07/13/2006
Last updated
02/14/2012
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