Individual
WALLACE SCOTT PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1031 SCOTT TER, ATHENS, GA 30606-6271
(706) 549-2700
(706) 549-6592
Mailing address
1031 SCOTT TER, ATHENS, GA 30606-6271
(706) 424-1633
(706) 549-2700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN097986
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00071401L
—
GA
05
—
00701401A
—
GA
Enumeration date
09/20/2006
Last updated
06/16/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us