Individual
EBONY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 THORNTON DR, FAYETTEVILLE, GA 30214-3827
(770) 412-2330
Mailing address
360 THORNTON DR, FAYETTEVILLE, GA 30214-3827
(770) 412-2330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN260768
GA
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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