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Organization

GEORGIA PALLIATIVE CARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK L PHILLIPS (NATIONAL DIRECTOR OF PHYSICIAN SER.)
(801) 924-4992
Entity
Organization

Contact information

Practice address
2849 PACES FERRY RD SE STE 380, ATLANTA, GA 30339-3769
(470) 737-0300
(801) 883-8044
Mailing address
206 N 2100 W STE 202, SALT LAKE CITY, UT 84116-4741
(801) 924-8571
(801) 883-8044

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
02/01/2019
Last updated
03/25/2019
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