Organization
PHOENIX ORTHO INJURY SPINE AND EXTREMITY MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ADAM (OWNER)
(919) 451-2129
Entity
Organization
Contact information
Practice address
1805 PARKE PLAZA CIR STE 101, STONE MOUNTAIN, GA 30087-3646
(919) 451-2129
Mailing address
1805 PARKE PLAZA CIR STE 101, STONE MOUNTAIN, GA 30087-3646
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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