Individual
PHYLLIS RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 569-0727
(706) 569-7324
Mailing address
2001 TORCH HILL RD APT 35A, COLUMBUS, GA 31903-5269
(706) 689-7789
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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