Individual
KETHIA PHELIZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
902 N 7TH ST, CORDELE, GA 31015-3270
(229) 276-3100
Mailing address
PO BOX 531739, ATLANTA, GA 30353-1739
(229) 276-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
105360
GA
Other
Enumeration date
04/01/2018
Last updated
07/28/2025
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