Organization
PHOEBE WORTH MEDICAL CENTER, INC
Active
Other names
Phoebe Worth Medical Center, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY L. FLYNT (BUSINESS OFFICE MANAGER)
(229) 777-4514
Entity
Organization
Contact information
Practice address
807 S ISABELLA ST, SYLVESTER, GA 31791-7554
(229) 777-4514
(229) 776-7062
Mailing address
807 S ISABELLA ST, P.O. BOX 545, SYLVESTER, GA 31791-7554
(229) 777-4514
(229) 776-7062
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00002109S
—
GA
01
—
000490
BLUE CROSS
GA
Enumeration date
01/04/2006
Last updated
11/15/2007
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