Individual
JULIA ANGELA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 444-4288
Mailing address
80 JESSE HILL JR DR SE, P.O. BOX 26069, ATLANTA, GA 30303-3031
(404) 444-4288
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00051873B
—
GA
Enumeration date
10/09/2007
Last updated
10/09/2007
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