NPI 1164700639

Phoebe Dorminy Medical Center, INC.

Organisation Community Based Hospice Care Agency Fitzgerald, GA

Practice location

Address: 815 S Main St, Fitzgerald, GA 31750-5701
Phone: (229) 424-7330
Mailing address: 200 Perry House Rd, Fitzgerald, GA 31750-8857

Authorised official

Name: Paige P Wynn
Title: Cfo
Phone: (229) 424-7100

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X

Other Hospice Care, Community Based providers in Georgia →

Registry record

NPI: 1164700639
Entity type: Organization
NPI issued: 1 Aug 2011
Record last updated: 8 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.