| Mike Phillips Llc | |
|
4015 S Cobb Dr Se Smyrna GA 30080-6303 | |
| (404) 274-4688 | |
| Not Available |
| Full Name | Mike Phillips Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4015 S Cobb Dr Se, Smyrna, Georgia |
| Authorized Official Name and Position | Michael Christopher Phillips (ORANGANIZER) |
| Authorized Official Contact | 4042744688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mike Phillips Llc 353 Durand Falls Drive Decatur GA 30030 Ph: (404) 274-4688 | Mike Phillips Llc 4015 S Cobb Dr Se Smyrna GA 30080-6303 Ph: (404) 274-4688 |
| NPI Number | 1417414632 |
|---|---|
| Provider Enumeration Date | 02/24/2019 |
| Last Update Date | 02/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417414632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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