| Dorminy Medical Center | |
|
200 Perry House Rd Fitzgerald GA 31750-8857 | |
| (229) 424-7100 | |
| (229) 424-7281 |
| Full Name | Dorminy Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 200 Perry House Rd, Fitzgerald, Georgia |
| Authorized Official Name and Position | Paige P Wynn (CFO) |
| Authorized Official Contact | 2294247100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dorminy Medical Center 200 Perry House Rd Fitzgerald GA 31750-8857 Ph: (229) 424-7100 | Dorminy Medical Center 200 Perry House Rd Fitzgerald GA 31750-8857 Ph: (229) 424-7100 |
| NPI Number | 1659806297 |
|---|---|
| Provider Enumeration Date | 04/20/2017 |
| Last Update Date | 09/06/2017 |
| Medicare PECOS PAC ID | 3678461373 |
|---|---|
| Medicare Enrollment ID | O20170630002525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659806297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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