| The Phoenix Group | |
|
11 Mae Pl Georgetown SC 29440-6034 | |
| (843) 240-7597 | |
| Not Available |
| Full Name | The Phoenix Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11 Mae Pl, Georgetown, South Carolina |
| Authorized Official Name and Position | Rodney S Moses (CEO) |
| Authorized Official Contact | 8435468480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Phoenix Group Po Box 1154 Georgetown SC 29442-1154 Ph: (843) 240-7597 | The Phoenix Group 11 Mae Pl Georgetown SC 29440-6034 Ph: (843) 240-7597 |
| NPI Number | 1588989420 |
|---|---|
| Provider Enumeration Date | 04/04/2010 |
| Last Update Date | 04/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588989420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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