Individual
ANDREA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 MAPLE DR, VIDALIA, GA 30474-7221
(912) 293-1883
Mailing address
704 MAPLE DR, VIDALIA, GA 30474-7221
(912) 293-1883
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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