Individual
COLLIN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 GENERAL COURTNEY HODGES BLVD STE 202, PERRY, GA 31069-3206
(478) 343-8896
(833) 478-1298
Mailing address
402 GENERAL COURTNEY HODGES BLVD STE 202, PERRY, GA 31069-3206
(478) 343-8896
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-416846
GA
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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