Individual
DR. CHARLES PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6045 CARLISLE LN, 6045 CARLISLE LN, ALPHARETTA, GA 30022-6281
(770) 379-1101
Mailing address
6045 CARLISLE LN, 6045 CARLISLE LN, ALPHARETTA, GA 30022-6281
(770) 379-1101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59582
GA
207Q00000X
Family Medicine Physician
AFE29567
CA
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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