Individual
WILLIAM PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
210 E DE RENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5372
(912) 644-5260
Mailing address
210 E DE RENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5372
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003929
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003929
PA LICENSE
GA
05
—
785770219A
—
GA
Enumeration date
10/21/2005
Last updated
05/15/2017
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