| Organization Name: | PHOENIX CLINIC |
| NPI Number: | 1023189701 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIE A BARNEY (CMO LIAISON) |
| Mailing Address: | 525 E 34th St Savannah |
| State: | GA US |
| Postal Code: | 314018149 |
| Phone Number: | 9123562953 |
| Fax Number: | 9123562465 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |