Individual
MRS. DONNA BOWERS PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
745 SOUTH MAIN ST., HINESVILLE, GA 31313-2542
(912) 876-3200
(912) 876-3236
Mailing address
PO BOX 1613, HINESVILLE, GA 31310-8613
(912) 876-3200
(912) 876-3236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010116
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00545575B
—
GA
Enumeration date
02/21/2007
Last updated
05/03/2013
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