| Phoenix Medical Group Of Ga Llc | |
|
917 Jonesboro Road Mcdonough GA 30253-6031 | |
| (678) 814-4901 | |
| (678) 814-4908 |
| Full Name | Phoenix Medical Group Of Ga Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 917 Jonesboro Road, Mcdonough, Georgia |
| Authorized Official Name and Position | Carrie Madej (PRESIDENT) |
| Authorized Official Contact | 6788144901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Medical Group Of Ga Llc P.o. Box 740209 Atlanta GA 30370-4029 Ph: (678) 814-4901 | Phoenix Medical Group Of Ga Llc 917 Jonesboro Road Mcdonough GA 30253-6031 Ph: (678) 814-4901 |
| NPI Number | 1013209733 |
|---|---|
| Provider Enumeration Date | 05/13/2011 |
| Last Update Date | 06/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013209733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 053123 (Georgia) | Primary |
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