Organization
PHOEBE DORMINY OB/GYN ASSOCIATES
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) 312-5800
Entity
Organization
Contact information
Practice address
119 NORMAN DORMINY DR, STE B, FITZGERALD, GA 31750-8855
(229) 426-7685
Mailing address
500 W 3RD AVE, STE 101, ALBANY, GA 31701-1985
(229) 312-5800
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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