Individual
ROGSBERT F PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5910 HILLANDALE DR, 104, LITHONIA, GA 30058-1884
(678) 418-3990
(678) 418-3995
Mailing address
5910 HILLANDALE DR, 104, LITHONIA, GA 30058-1884
(678) 418-3990
(678) 418-3995
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
023493
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000245484A
—
GA
Enumeration date
02/06/2007
Last updated
10/05/2011
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