Phillips, Amanda

Phillips, Amanda is an individual health care provider with primary practice located at 350 Country Club Dr Suite-D, Stockbridge GA 30281-9084. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Phillips, Amanda can be contacted via phone (770) 474-1919.

Contact Information

Primary practice address
350 Country Club Dr Suite-D Stockbridge GA 30281-9084
Phone: (770) 474-1919
Fax: (770) 474-7832
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 57739 Georgia

Profile Details

NPI number 1447290341
LBN Legal business name Phillips, Amanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Oct 6th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447290341 NPPES
Georgia MEDICAID 267388816A

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