SearchGeorgia163W00000X

Ebony Phillips

NPI 1700731908 · on the registry since 2026 · sole proprietor

Practice

Address
360 Thornton Dr
Fayetteville, GA 30214
Phone
(770) 412-2330

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-03

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