Individual
MACAYLA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LPN103848
GA
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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