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DMC PHYSICIAN GROUP LLC NPI 1124430020


NPI Information

NPI: 1124430020
Provider Name: DMC PHYSICIAN GROUP LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
200 PERRY HOUSE RD
FITZGERALD, GA
ZIP 31750
Phone: (229) 424-7260
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DMC PHYSICIAN GROUP LLC is a family medicine in Fitzgerald, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DMC PHYSICIAN GROUP LLC NPI is 1124430020. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 PERRY HOUSE RD
FITZGERALD, GA
ZIP 31750-857
Phone: (229) 424-7260

The provider's authorized official is Paige Wynn .
The authorized official title is Interim Ceo and has the following contact phone number (478) 289-1376.

The enumeration date for this NPI number is 5/27/2014 and was last updated on 9/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2208600000XSurgeryNo
3208M00000XHospitalistNo
4282NR1301XGeneral Acute Care HospitalRuralNo
5207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.