Phoenix Medical Group of Ga LLC

NPI #1013209733 in Mcdonough, Georgia

Provider Information

NPI Number: 1013209733
Entity Type: Organization
Organization Name: Phoenix Medical Group of Ga LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 13, 2011
Last Updated: Jun 12, 2014

Practice Location

Address: 917 JONESBORO ROAD
City: Mcdonough
State: Georgia
ZIP Code: 30253-6031
Phone: (678) 814-4901

Authorized Official

Name: MS. CARRIE MADEJ, D.O.
Title: PRESIDENT
Phone: (678) 814-4901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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