| Organization Name: | PHOEBE WORTH MEDICAL CENTER |
| NPI Number: | 1699904136 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL B WRIGHT (NURSE PRACTITIONER, REGISTEREDNURSE) |
| Mailing Address: | 1014 West Franklin St Sylvester |
| State: | GA US |
| Postal Code: | 31791 |
| Phone Number: | 2297762965 |
| Fax Number: | 2297764452 |
| NPI Enumeration Date: | 07/06/2009 |
| NPI Last Update Date: | 07/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | F0609043 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |