Phoebe Dorminy Surgical Associates

NPI #1164703781 in Fitzgerald, Georgia

Provider Information

NPI Number
1164703781
Entity Type
Organization
Organization Name
Phoebe Dorminy Surgical Associates
Subpart
Yes (part of a larger organization)
Parent Organization
PHOEBE PHYSICIAN GROUP INC
Primary Specialty
Clinic/Center
Enumeration Date
Sep 9, 2011
Last Updated
Sep 9, 2011

Practice Location

Address
119 NORMAN DORMINY DR
Address 2
STE C
State
Georgia
ZIP Code
31750-8855
Phone
(229) 423-5843

Authorized Official

Name
ROBERT LAGESSE
Title
SR VP PHYSICIAN PRACTICES
Phone
(229) 312-1000

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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