Individual
CHARLEITTE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3575 FULTON MILL RD, MACON, GA 31206-5125
(478) 803-7600
Mailing address
4785 RAPIDS CIR NW, ACWORTH, GA 30102-7993
(248) 778-7656
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN250274
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
4704131775
MI
Other
Enumeration date
02/26/2013
Last updated
07/14/2023
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