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Organization

PHOEBE WORTH MEDICAL CENTER, INC

Active
Other names
Phoebe Worth Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
STACEY L FLYNT (BUSINESS OFFICE MANAGER)
(229) 777-4514
Entity
Organization

Contact information

Practice address
1014 W FRANKLIN ST, SYLVESTER, GA 31791-1978
(229) 776-2965
(229) 776-4452
Mailing address
PO BOX 545, 807 S ISABELLA STREET, SYLVESTER, GA 31791-0545
(229) 776-2965
(229) 776-4452

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00002109E
GA
Enumeration date
12/13/2005
Last updated
11/13/2007
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