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Individual

MS. ROSALIND PHILLIP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
601 DALLAS HIGHWAY, VILLA RICA, GA 30180
(770) 456-3195
(770) 456-3351
Mailing address
3605 LONGFIELD DR, DOUGLASVILLE, GA 30134-8301
(770) 456-3195
(770) 456-3351

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001624
GA

Other

Enumeration date
09/25/2007
Last updated
09/25/2007
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