Phillips, Lisa D

Phillips, Lisa D is an individual health care provider with primary practice located at 1436 Broadrick Dr Suite B, Dalton GA 30720-3009. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Phillips, Lisa D can be contacted via phone (706) 226-3434.

Contact Information

Primary practice address
1436 Broadrick Dr Suite B Dalton GA 30720-3009
Phone: (706) 226-3434
Fax: (706) 226-4820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN16722 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN247137 Georgia

Profile Details

NPI number 1275881823
LBN Legal business name Phillips, Lisa D
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated Jan 25th, 2024 - about 10 months 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 1275881823 NPPES
Georgia MEDICAID 003164332A
Georgia Other 03279387

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