Individual
PHYLLIS A. TETTEY-ENYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
125 KING AVE STE 200, ATHENS, GA 30606-6710
(706) 369-4478
(706) 353-6639
Mailing address
1835 SAVOY DR STE 300, ATLANTA, GA 30341-1071
(678) 288-9555
(678) 288-9556
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN174444
GA
363LF0000X
Family Nurse Practitioner
RN174444
GA
Other
Enumeration date
04/14/2016
Last updated
09/12/2022
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