PHOENIX MEDICAL GROUP OF GA LLC

MCDONOUGH, GA
NPI1013209733
Entity TypeOrganization
Authorized ContactCARRIE MADEJ
President
678-814-4901
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  053123)
Enumeration Date2011-05-13
Last Update Date2014-06-12
Business Address
PHOENIX MEDICAL GROUP OF GA LLC
917 JONESBORO ROAD
MCDONOUGH, GA 30253-6031
Phone number: 678-814-4901
Mailing Address
PHOENIX MEDICAL GROUP OF GA LLC
P.O. BOX 740209
ATLANTA, GA 30370-4029
Phone number: 678-814-4901
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