NPIMap

DMC Physician Group LLC

Organization Active NPI Rural Health Clinic/Center · Fitzgerald, GA

NPI 1619541018 · NPPES record last updated Mar 21, 2022

Key facts

NPI
1619541018
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
DMC PHYSICIAN GROUP LLC
Practice address
246 Benjamin H Hill Dr SW
Fitzgerald, GA 31750-8695
Phone
(229) 409-0874
NPI assigned
May 19, 2021
Organization subpart
No

Authorized official

Name
Paige Wynn
Title
Ceo
Phone
(229) 424-7100

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
DMC Physician Group LLC (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

246 Benjamin H Hill Dr SW
Fitzgerald, GA 31750-8695

Mailing address

246 Benjamin H Hill Dr SW
Fitzgerald, GA 31750-8695
Phone (229) 409-0874

Other practice location 1

110 Norman Dorminy Dr
Fitzgerald, GA 31750-8858
Phone (229) 409-0874

Other names

  • DMC PRIMARY CARE Doing business as

Other providers in Fitzgerald, GA

All providers in Fitzgerald, GA · Rural Health Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.