Individual
AMANDA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
682 HEMLOCK ST, SUITE 490, MACON, GA 31201-6883
(478) 741-1208
(478) 741-9361
Mailing address
682 HEMLOCK ST, SUITE 490, MACON, GA 31201-6883
(478) 741-1208
(478) 741-9361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN154237
GA
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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