Organization
DONALD PHILLIPS ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN LEARY (PRACTICE MANAGER)
(770) 723-9965
Entity
Organization
Contact information
Practice address
2295 PARKLAKE DR NE STE 240, ATLANTA, GA 30345-2863
(770) 723-9965
(770) 723-9344
Mailing address
2295 PARKLAKE DR NE STE 240, ATLANTA, GA 30345-2863
(770) 723-9965
(770) 723-9344
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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