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

Phoenix Wellness Center LLC

Organization General Practice Physician · NPI 1316135643

Phoenix Wellness Center LLC is a General Practice Physician in Atlanta, Georgia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

142 Mitchell St SW Ste 200
Atlanta, GA 30303-3439
Phone: (404) 584-2105
Fax: (404) 584-2106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1316135643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fabian Centeno — President · (404) 584-2105
NPI enumeratedOctober 11, 2007
Last updated in NPPESOctober 11, 2007
Mailing address142 Mitchell St Sw, Suite 200, Atlanta, GA 30303-3439

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