Individual
DR. RANDALL JERALD PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
516 CANDLER ST, GAINESVILLE, GA 30501-3332
(770) 536-1222
Mailing address
516 CANDLER ST, GAINESVILLE, GA 30501-3332
(770) 536-1222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN010821
GA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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