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Charles Phoenix
NPI 1437922044 · on the registry since 2023 · sole proprietor
Practice
- Address
- 14030 Abercorn St
Savannah, GA 31419 - Phone
- (912) 712-2152
- Organisation at this address
- Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia