Individual
MS. TAMMY PEEPLES PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
28 RUNNING VINE LANE, ETHELSVILLE, AL 35461-0001
(205) 658-2152
Mailing address
28 RUNNING VINE LANE P.O.BOX 1, ETHELSVILLE, AL 35461-0001
(205) 658-2152
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P273679
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770305
—
MS
Enumeration date
05/03/2007
Last updated
07/09/2007
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