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Individual

SIERRA GREEN PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3672 MARATHON CIR STE 200, AUSTELL, GA 30106-6821
(770) 944-3303
(770) 944-0285
Mailing address
900 CIRCLE 75 PKWY SE STE 1700, ATLANTA, GA 30339-3087
(770) 953-6929
(770) 953-6972

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
58948
TN
207X00000X
Orthopaedic Surgery Physician
85821
GA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
85821
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/17/2014
Last updated
12/18/2020
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