Individual
DR. THOMAS WILSON PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
20 GLENLAKE PKWY, RADIATION ONCOLOGY, ATLANTA, GA 30328
(404) 365-0966
(404) 851-6010
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
(770) 693-6039
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0012112
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00144559H
—
GA
Enumeration date
08/10/2005
Last updated
03/12/2013
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