Organization
DMC PHYSICIAN GROUP LLC
Active
Other names
DMC PRIMARY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE PORTER (DIRECTOR)
(863) 662-9092
Entity
Organization
Contact information
Practice address
246 BENJAMIN H HILL DR SW, FITZGERALD, GA 31750-8695
(229) 409-0874
(229) 424-7392
Mailing address
PO BOX 1447, FITZGERALD, GA 31750-1447
(229) 424-7100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
10/27/2023
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