Individual
CHARLES KENNETH PHILLIPS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4993 RUSSELL PKWY STE 160-170, WARNER ROBINS, GA 31088-8649
(478) 333-1550
Mailing address
4993 RUSSELL PKWY STE 160-170, WARNER ROBINS, GA 31088-8649
(478) 333-1550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP232230
GA
Other
Enumeration date
08/15/2023
Last updated
10/10/2025
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