# PHOENIX CLINIC AND AFTERHOUR CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720569403
- **Authorized official:** DR. MARIE LIGHTBOURNE MD (OWNER)
- **Authorized official phone:** (678) 386-2929

## Contact information

- **Practice address:** 2795 MAIN ST W \# 21, SNELLVILLE, GA 30078-3164
- **Practice address phone:** (678) 386-2929
- **Mailing address:** 5858 SILVER RIDGE DR, STONE MOUNTAIN, GA 30087-2322
- **Mailing address phone:** (678) 386-2929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 060359 | GA | Yes |

## Other

- **Enumeration date:** 08/22/2018
- **Last updated:** 08/22/2018