Individual
GISELLE J PHILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
55 UPPER ALABAMA ST SW, ATLANTA, GA 30303-3169
(678) 761-5234
Mailing address
2091 MALLARD WAY, LITHONIA, GA 30058-8337
(678) 761-5234
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
MT006787
GA
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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