Organization
DMC PHYSICIAN GROUP LLC
Active
Other names
DMC INTERNAL AND FAMILY MEDICINE CLINIC, DMC INTERNAL MEDICINE AND FAMILY HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE WYNN (CEO)
(229) 424-7100
Entity
Organization
Contact information
Practice address
118 NORMAN DORMINY DR, FITZGERALD, GA 31750-8858
(229) 423-9561
Mailing address
PO BOX 1447, FITZGERALD, GA 31750-1447
(229) 424-7100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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