Phoenix Ortho Injury Spine and Extremity Medical Services LLC

NPI #1396516860 in Stone Mountain, Georgia

Provider Information

NPI Number: 1396516860
Entity Type: Organization
Organization Name: Phoenix Ortho Injury Spine and Extremity Medical Services LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jan 12, 2024
Last Updated: Jan 12, 2024

Practice Location

Address: 1805 PARKE PLAZA CIR STE 101
City: Stone Mountain
State: Georgia
ZIP Code: 30087-3646
Phone: (919) 451-2129

Authorized Official

Name: BRIAN ADAM
Title: OWNER
Phone: (919) 451-2129

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 Surgery Center	Orthopaedic Surgery	Stone Mountain	AI Deep Dive

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