Healthcare Provider Details

I. General information

NPI: 1609472661
Provider Name (Legal Business Name): PHOENIX HEALTHCARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2020
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3424 PEACHTREE RD NE STE 2200
ATLANTA GA
30326-1156
US

IV. Provider business mailing address

3424 PEACHTREE RD NE STE 2200
ATLANTA GA
30326-1156
US

V. Phone/Fax

Practice location:
  • Phone: 213-378-3171
  • Fax:
Mailing address:
  • Phone: 213-378-3171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LORRAINE M SPRINGER
Title or Position: CEO
Credential:
Phone: 404-455-1541