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Individual

MRS. TATIANA MARIE NICOLE PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
457 CRANBERRY CIR, MCDONOUGH, GA 30253-7790
(210) 529-0767
Mailing address
457 CRANBERRY CIR, MCDONOUGH, GA 30253-7790
(210) 529-0767

Taxonomy

Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
1010957
TX

Other

Enumeration date
10/30/2023
Last updated
10/30/2023
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