Individual
DR. PHIL BOTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB, PHD
Contact information
Practice address
1405 CLIFTON RD NE, CARDIOTHORACIC SURGERY, ATLANTA, GA 30322-1060
(404) 785-6330
(404) 785-6266
Mailing address
1405 CLIFTON RD NE, CARDIOTHORACIC SURGERY, ATLANTA, GA 30322-1060
(404) 785-6330
(404) 785-6266
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
006107
GA
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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