Individual
KAREN PHILLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 AROURA DR, WOODSTOCK, GA 30188-5180
(770) 733-3663
Mailing address
701 AROURA DR, WOODSTOCK, GA 30188-5180
(770) 733-3663
Taxonomy
Speciality
Code
Description
License number
State
163WN0300X
Nephrology Registered Nurse
Primary
RN17802
GA
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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