Individual
MR. DEMARIO PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1755 THE EXCHANGE SE, SUITE 138, ATLANTA, GA 30339-7400
(678) 612-4093
Mailing address
1458 INDIAN FOREST CT, STONE MOUNTAIN, GA 30083-5436
(678) 612-4093
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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