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DMC PHYSICIAN GROUP LLC NPI 1922672120


NPI Information

NPI: 1922672120
Provider Name: DMC PHYSICIAN GROUP LLC

Doing Business As: DMC PRIMARY CARE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
246 BENJAMIN H HILL DR SW
FITZGERALD, GA
ZIP 31750
Phone: (229) 409-0874
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DMC PHYSICIAN GROUP LLC is a rural health clinic center in Fitzgerald, GA. DMC PHYSICIAN GROUP LLC NPI is 1922672120. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dmc Primary Care.

The provider's business location address is:

246 BENJAMIN H HILL DR SW
FITZGERALD, GA
ZIP 31750-695
Phone: (229) 409-0874
Fax: (229) 424-7392

The provider's authorized official is Katherine Porter .
The authorized official title is Director and has the following contact phone number (863) 662-9092.

The enumeration date for this NPI number is 5/13/2021 and was last updated on 10/27/2023.


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 MedicineNo
2261QR1300XClinic/CenterRural HealthYes

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.