Individual
AMANDA SHEA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
303 HARRIS INDUSTRIAL BLVD STE 3, VIDALIA, GA 30474-8854
(912) 537-9355
Mailing address
404 W 7TH ST, VIDALIA, GA 30474-4929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN239312
GA
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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