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Individual

KAYLA PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
607C N IRWIN AVE, OCILLA, GA 31774-5009
(229) 468-5020
Mailing address
PO BOX 749, OCILLA, GA 31774-0749
(229) 468-9166

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN223191
GA
363L00000X
Nurse Practitioner
Primary
RN229131
GA

Other

Enumeration date
07/18/2016
Last updated
07/09/2021
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