Individual
MRS. CHRISTIE LYNN PHILLIPS-FEARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
423 S COLUMBIA AVE, RINCON, GA 31326-9080
(912) 826-8860
(912) 826-2813
Mailing address
423 S COLUMBIA AVE, RINCON, GA 31326-9080
(912) 826-8860
(912) 826-2813
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
RN308281
GA
363LF0000X
Family Nurse Practitioner
3012071
KY
363LF0000X
Family Nurse Practitioner
Primary
F01181389
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3012071
APRN LICENSE
KY
Enumeration date
02/26/2018
Last updated
04/12/2023
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