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Organization
PHOENIX RISING PSYCHIATRIC, RECOVERY & SLEEP SERVICES
Active
Organization
PHOENIX RISING PSYCHIATRIC, RECOVERY & SLEEP SERVICES
Active
Other names
Phoenix Rising Psychiatric, Recovery & Sleep Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINARI GIBB PRICE MD (OWNER)
(678) 709-9021
Entity
Organization
Contact information
Practice address
101 DEVANT ST STE 504, FAYETTEVILLE, GA 30214-2720
(770) 282-6962
(770) 282-6983
Mailing address
101 DEVANT ST STE 504, FAYETTEVILLE, GA 30214-2720
(770) 282-6962
(770) 282-6983
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000000000
DO NOT HAVE THESE NUMBERS YET
—
Enumeration date
06/10/2022
Last updated
06/10/2022
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