Individual
TRACY LYNN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGCNS-BC
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 446-5534
Mailing address
1942 JOYNER POND RD, AIKEN, SC 29803-9512
(219) 477-9408
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
23860
SC
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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