Individual
DR. PUSHPA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
227 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 720-7733
(770) 720-7557
Mailing address
227 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 720-7733
(770) 720-7557
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2013-01980
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
86654
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/23/2009
Last updated
08/25/2021
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