PHOENIX WELLNESS CENTER LLC is a general practice in Atlanta, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PHOENIX WELLNESS CENTER LLC NPI is 1316135643. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
142 MITCHELL ST SW SUITE 200 ATLANTA, GA ZIP 30303-439 Phone: (404) 584-2105 Fax: (404) 584-2106
The provider's authorized official is Fabian Centeno . The authorized official title is President and has the following contact phone number (404) 584-2105.
The enumeration date for this NPI number is 10/11/2007 and was last updated on 10/11/2007.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
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