Organization
PHOENIX PRACTICE MANAGEMENT
Active
Other names
Phoenix Practice Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGAN WILSON (OWNER)
(404) 492-8830
Entity
Organization
Contact information
Practice address
1266 W PACES FERRY RD NW, SUITE 339, ATLANTA, GA 30327-2306
(404) 492-8830
Mailing address
1266 W PACES FERRY RD NW, SUITE 339, ATLANTA, GA 30327-2306
(404) 492-8830
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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