Individual
FABIOLA PHILIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(305) 772-2338
Mailing address
443 WEYANOKE DR, EVANS, GA 30809-7061
(305) 772-2338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
809746
TX
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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