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1316135643
PHOENIX WELLNESS CENTER LLC
ATLANTA, GA
NPI
1316135643
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Entity Type
Organization
Authorized Contact
FABIAN CENTENO
President
404-584-2105
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2007-10-11
Last Update Date
2007-10-11
Business Address
PHOENIX WELLNESS CENTER LLC
142 MITCHELL ST SW SUITE 200
ATLANTA, GA 30303-3439
Phone number: 404-584-2105
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Mailing Address
PHOENIX WELLNESS CENTER LLC
142 MITCHELL ST SW SUITE 200
ATLANTA, GA 30303-3439
Phone number: 404-584-2105
Copy
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