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Tony Phillips

NPI 1891168654 · on the registry since 2015 · sole proprietor

Practice

Address
145 Oak Knl
Fayetteville, GA 30214
Phone
(443) 564-0379

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-11-02

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