Individual
PHILIP OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-7000
Mailing address
345 ASHBROOK LN, ATHENS, GA 30605-3982
(608) 575-8621
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
314056
GA
Other
Enumeration date
03/21/2026
Last updated
03/21/2026
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