Organization
PHALANX MED GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HRADECKY (MANAGER)
(603) 540-6564
Entity
Organization
Contact information
Practice address
1029 N PEACHTREE PKWY # 253, PEACHTREE CITY, GA 30269-4210
(603) 540-6564
Mailing address
1029 N PEACHTREE PKWY # 253, PEACHTREE CITY, GA 30269-4210
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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