Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Ortho Injury Spine and Extremity Surgery Center

Organization Orthopaedic Surgery Physician · NPI 1033919709

Phoenix Ortho Injury Spine and Extremity Surgery Center is an Orthopaedic Surgery Physician in Stone Mountain, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1805 Parke Plaza Cir Ste 103
Stone Mountain, GA 30087-3646
Phone: (678) 892-5590
Fax: (678) 449-0102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1033919709
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rachel Renfro — Asc Director · (706) 267-0148
NPI enumeratedMarch 13, 2025
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025
Mailing address1805 Parke Plaza Cir Ste 103, Stone Mountain, GA 30087-3646

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