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Individual

RUTH PHILOGENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1083 GATHER DR, LAWRENCEVILLE, GA 30043-7553
(908) 313-1049

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN300160
GA

Other

Enumeration date
07/18/2023
Last updated
07/18/2023
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