MEDICARE: PHA-ZES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1942407689
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHA-ZES INC

Provider Business Mailing Address
First Line	:	4913 ALBEMARLE RD STE 103
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-6617
Country	:	US
Telephone Number	:	704-806-1933
Fax Number	:	704-568-7072

Provider Business Practice Location Address
First Line	:	4913 ALBEMARLE RD STE 101
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-6617
Country	:	US
Telephone Number	:	704-568-7072
Fax Number	:	704-568-7025

Authorized Official
Title or Position	:	CEO
Name	:	ALICIA JONES
Credential	:	BA
Telephone Number	:	704-806-1933

Provider Enumeration Date	:	06/27/2007
Last Update Date	:	05/27/2026

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Directions to “PHA-ZES INC ” Practice Location

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