Individual
DR. TIJI MATHEW PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 PARKBROOKE PL, SUITE 200, WOODSTOCK, GA 30189-6400
(770) 928-0016
Mailing address
250 PARKBROOKE PL, SUITE 200, WOODSTOCK, GA 30189-6400
(770) 928-0016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
75647
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/02/2009
Last updated
05/04/2016
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