Organization · Type 2 NPI

Phynova Mso, LLC

Specialist · Atlanta, GA

NPI number 1447861950 Active

Practice location

1718 Peachtree St NW Ste 380
Atlanta, GA 30309-2498

Call (770) 270-5229 Map

Fax (770) 270-9323

Mailing address

PO Box 54157
Atlanta, GA 30308-0157

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
General Practice Physician 208D00000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1447861950

Phynova Mso, LLC's National Provider Identifier is 1447861950, issued on Aug 10, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 10, 2020.