Individual
DR. ALICE JYOTHI PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
220 OAKSIDE LN, CANTON, GA 30114-6413
(678) 807-1050
(770) 720-7384
Mailing address
260 ELM ST, CUMMING, GA 30040-2467
(678) 807-1050
(770) 720-7384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
061320
GA
Other
Enumeration date
01/25/2008
Last updated
02/17/2016
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