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Organization
HARDCHOICES LLC
Active
Organization
HARDCHOICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LEWIS FENLEY JR. MD (OWNER)
(386) 960-7830
Entity
Organization
Contact information
Practice address
2583 S VOLUSIA AVE STE 200, ORANGE CITY, FL 32763-9129
(386) 960-7830
(386) 960-7833
Mailing address
1895 PHOENIX BLVD, SUITE 338, COLLEGE PARK, GA 30349-5592
(678) 604-0891
(678) 604-0891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME-122760
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05500293A
—
GA
01
—
11BDLZQ
MEDICARE UNSPEC.
GA
Enumeration date
09/10/2007
Last updated
07/26/2018
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