Individual
DR. PHILLIP SHELBY TULLY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7270 N LAKE DR STE 100, COLUMBUS, GA 31909-2764
(706) 323-6491
(706) 323-2671
Mailing address
7270 N LAKE DR STE 100, COLUMBUS, GA 31909-2764
(706) 323-6491
(706) 323-2671
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012911
GA
Other
Enumeration date
10/17/2006
Last updated
05/20/2024
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