Phoenix Ortho Injury Spine and Extremity Surgery Center

NPI #1033919709 in Stone Mountain, Georgia

Provider Information

NPI Number: 1033919709
Entity Type: Organization
Organization Name: Phoenix Ortho Injury Spine and Extremity Surgery Center
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Mar 13, 2025
Last Updated: Mar 13, 2025

Practice Location

Address: 1805 PARKE PLAZA CIR STE 103
City: Stone Mountain
State: Georgia
ZIP Code: 30087-3646
Phone: (678) 892-5590

Authorized Official

Name: RACHEL RENFRO, NP
Title: ASC DIRECTOR
Phone: (706) 267-0148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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Organizations

Provider Name	Specialty	City
Phoenix Ortho Injury Spine and Extremity Medical Services LLC	Orthopaedic Surgery	Stone Mountain	AI Deep Dive

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