Organization
PHYNOVA MSO, LLC
Active
Parent organization
PMR HOLDING COMPANY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PMR HOLDING COMPANY, LLC
Authorized official
LAVERNE W POINDEXTER (CHIEF EXECUTIVE OFFICER)
(770) 270-5229
Entity
Organization
Contact information
Practice address
1718 PEACHTREE ST NW STE 380, ATLANTA, GA 30309-2498
(770) 270-5229
(770) 270-9323
Mailing address
PO BOX 54157, ATLANTA, GA 30308-0157
(770) 270-5229
(770) 270-9323
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us