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Phillip Weller
NPI 1780339010 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1120 15th St # Gc5110
Augusta, GA 30912 - Phone
- (435) 659-4336
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-04
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