Individual
KEVIN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3286 BUCKEYE RD, ATLANTA, GA 30341-4228
(404) 267-5566
Mailing address
4322 INVERNESS RD, DULUTH, GA 30096-6293
(404) 513-0123
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004906
GA
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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