Phoenix Wellness Center Llc

LBN: Phoenix Wellness Center Llc
Phoenix Wellness Center Llc is an health care organization with primary practice located at 142 Mitchell St Sw Suite 200, Atlanta GA 30303-3439. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Phoenix Wellness Center Llc can be contacted via phone (404) 584-2105, or through Centeno, Fabian via phone (404) 584-2105.

Contact Information

Primary practice address
142 Mitchell St Sw Suite 200 Atlanta GA 30303-3439
Phone: (404) 584-2105
Fax: (404) 584-2106
Website:
Map and Directions
Authorized official contact:
Name: Centeno, Fabian
Phone: (404) 584-2105

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1316135643
LBN Legal business name Phoenix Wellness Center Llc
DBA Doing business as
Authorized official Centeno, Fabian
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2007
Last updated Oct 11th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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