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1275263402
PHILLIP ELVIS
AUGUSTA, GA
NPI
1275263402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: GA 13817)
Enumeration Date
2022-06-11
Last Update Date
2022-06-11
Business Address
PHILLIP ELVIS MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2273
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Mailing Address
PHILLIP ELVIS MD
808 BARRETT LN
AUGUSTA, GA 30909-3453
Phone number:
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