DMC PHYSICIAN GROUP LLC NPI 1417521816

NPI Information

  • NPI: 1417521816
  • Provider Name: DMC PHYSICIAN GROUP LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 116 BENJAMIN HL STE 12
    FITZGERALD, GA
    ZIP 31750
  • Phone: (229) 424-7263

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NPI Details

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 1417521816. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

116 BENJAMIN HL STE 12
FITZGERALD, GA
ZIP 31750-511
Phone: (229) 424-7263

The provider's authorized official is Paige Wynn .
The authorized official title is Ceo and has the following contact phone number (229) 424-7100.

The enumeration date for this NPI number is 5/19/2021 and was last updated on 5/19/2021.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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