Organization
PHOENIX ORTHO INJURY SPINE AND EXTREMITY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL RENFRO NP (ASC DIRECTOR)
(706) 267-0148
Entity
Organization
Contact information
Practice address
1805 PARKE PLAZA CIR STE 103, STONE MOUNTAIN, GA 30087-3646
(678) 892-5590
(678) 449-0102
Mailing address
1805 PARKE PLAZA CIR STE 103, STONE MOUNTAIN, GA 30087-3646
(678) 892-5590
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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