Provider Information for 1508261231
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CHRISTIE PHILLIPS
Sex: Female
NPI: 1508261231
Last Updated: 2016-11-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1508261231 | ||||||||||||
| Enumeration Date | 2014-10-23 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3171 SKYVIEW DR LITHIA SPRINGS, GA 30122-2361 United States Phone: 404-545-1239 | Fax:404-393-7245 | ||||||||||||
| Primary Practice Address | 3171 SKYVIEW DR LITHIA SPRINGS, GA 30122-2361 United States Phone: 404-545-1239 | Fax:404-393-7245 | ||||||||||||
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