Phoebe Dorminy Family Care | |
110 Norman Dorminy Dr Fitzgerald GA 31750-8858 | |
(229) 312-5800 | |
Not Available |
Full Name | Phoebe Dorminy Family Care |
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Speciality | Clinic/center |
Location | 110 Norman Dorminy Dr, Fitzgerald, Georgia |
Authorized Official Name and Position | Robert Lagesse (SR VP PHYSICIAN PRACTICES) |
Authorized Official Contact | 2293121000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Phoebe Dorminy Family Care 110 Norman Dorminy Dr Fitzgerald GA 31750-8858 Ph: (229) 312-5800 | Phoebe Dorminy Family Care 110 Norman Dorminy Dr Fitzgerald GA 31750-8858 Ph: (229) 312-5800 |
NPI Number | 1992084644 |
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Provider Enumeration Date | 08/12/2011 |
Last Update Date | 08/12/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992084644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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