Dim Physicians LLC

NPI #1457605867 in Dublin, Georgia

Provider Information

NPI Number
1457605867
Entity Type
Organization
Organization Name
Dim Physicians LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHEAST REGIONAL. PRIMARY CARE CORP
Primary Specialty
Internal Medicine
Enumeration Date
Nov 7, 2012
Last Updated
Apr 15, 2015

Practice Location

Address
104 FAIRVIEW PARK DR
City
Dublin
State
Georgia
ZIP Code
31021-2500
Phone
(478) 272-1366

Authorized Official

Name
MR. TONY MARCUS O'STEEN, CPA
Title
CFO - SRPCC
Phone
(912) 538-5314

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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