Organization
PHOEBE DORMINY FAMILY CARE
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) 312-1000
Entity
Organization
Contact information
Practice address
110 NORMAN DORMINY DR, FITZGERALD, GA 31750-8858
(229) 312-5800
Mailing address
110 NORMAN DORMINY DR, FITZGERALD, GA 31750-8858
(229) 312-5800
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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