Individual
DR. ANGUS P PHELTS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 MANCHESTER EXPRESSWAY, STE A-005, COLUMBUS, GA 31904
(706) 324-7753
(706) 324-7756
Mailing address
PO BOX 7546, COLUMBUS, GA 31908-7546
(706) 320-2773
(706) 596-4226
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
024060
GA
207Y00000X
Otolaryngology Physician
24060
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000415863A
—
GA
Enumeration date
03/15/2006
Last updated
10/31/2011
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