Individual
DR. REGINA K. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10680 MEDLOCK BRIDGE RD STE 204, JOHNS CREEK, GA 30097-8420
(470) 292-3820
Mailing address
10680 MEDLOCK BRIDGE RD STE 101, JOHNS CREEK, GA 30097-8420
(470) 292-3820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13714
AL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
13714
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149725
—
AL
01
—
51137968
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/29/2006
Last updated
09/25/2025
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