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Individual

GARNEDA DAVONIA PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAAA

Contact information

Practice address
550 PEACHTREE ST, ANESTHESIOLOGY 2ND FLOOR, ATLANTA, GA 30365
(404) 778-4852
Mailing address
4973 KIOWA CT SW, LILBURN, GA 30047-5776
(770) 413-3302

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
002469
GA
367H00000X
Anesthesiologist Assistant
2469
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100002495A
GA
Enumeration date
07/07/2006
Last updated
10/26/2022
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