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Contact Information

DORMINY MEDICAL CENTER
200 PERRY HOUSE RD
FITZGERALD, GA31750-8857
 Phone: 229-424-7112
 Fax: 229-424-7200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DORMINY MEDICAL CENTER

NPI Number 1477697134
LBN Legal business name DORMINY MEDICAL CENTER
Authorized official ARTHUR HILL - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 02/16/2007
Last updated 09/14/2016 - About 10 years ago
Identifiers
GA License # PHH007798
Other 2013736 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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