Individual
CHARLES BAILEY PHILLIPS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4045 VINEVILLE AVE, MACON, GA 31210-5039
(478) 475-4131
(478) 475-4128
Mailing address
4045 VINEVILLE AVE, MACON, GA 31210-5039
(478) 475-4131
(478) 475-4128
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006566
GA
Other
Enumeration date
07/18/2005
Last updated
05/03/2013
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