Organization
PHOENIX WELLNESS AND REHABIILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATRISHA MCCAULEY DC (OWNER)
(678) 591-3873
Entity
Organization
Contact information
Practice address
2959 HERRON LN SW, ATLANTA, GA 30349-1501
(678) 591-3873
Mailing address
2959 HERRON LN SW, ATLANTA, GA 30349-1501
(678) 591-3873
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
251E00000X
Home Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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