Individual
PHILLIP PAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2616 WARM SPRINGS ROAD, COLUMBUS, GA 31904-5323
(706) 323-3491
Mailing address
2616 WARM SPRINGS ROAD, COLUMBUS, GA 31904-5323
(706) 507-7530
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
88030
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2017
Last updated
07/01/2021
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