| NPI | 1992175582 |
|---|---|
| Doing Business As | PHOENIX PRACTICE MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | REGAN WILSON Owner 404-492-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |