Individual
MR. LARRY GENE PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1701 HARDEE AVE, GREEN TEAM, ATLANTA, GA 30330
(404) 464-0237
(404) 464-0249
Mailing address
1701 HARDEE AVE, GREEN TEAM, ATLANTA, GA 30330
(404) 464-0237
(404) 464-0249
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002969
GA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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