Individual
DR. PHYLLIS MAY BARRACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9020 PERIDOT PKWY, STOCKBRIDGE, GA 30281-9417
(770) 692-4750
Mailing address
1837 REGENTS WAY, CONYERS, GA 30094-3390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
057281
GA
Other
Enumeration date
12/13/2006
Last updated
09/07/2007
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