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Individual

PHYLLIS ANN WEED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2013 CAROL ST, ROSSVILLE, GA 30741-3817
(706) 861-4856
(707) 861-4856
Mailing address
2013 CAROL ST, ROSSVILLE, GA 30741-3817
(706) 861-4856
(707) 861-4856

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
09/08/2019
Last updated
09/08/2019
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