Individual
MR. MARK PHILLIPS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4586 VALLEY PKWY SE UNITE E, 4586 VALLEY PKWY SE UNIT E, SMYRNA, GA 30082
(914) 943-1442
Mailing address
4586 VALLEY PKWY SE UNITE E, 4586 VALLEY PKWY SE UNIT E, SMYRNA, GA 30082
(914) 943-1442
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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