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Tara Phillips
NPI 1225331150 · on the registry since 2010 · sole proprietor
Practice
- Address
- 3301 Cobblestone Blvd
Fayetteville, GA 30215 - Phone
- (770) 756-9924
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-12-15
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