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1306384250
REGINA PHILLIPS WILEY
COCHRAN, GA
NPI
1306384250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN201982)
Enumeration Date
2017-02-10
Last Update Date
2018-08-15
Business Address
REGINA PHILLIPS WILEY NP
136 W DYKES ST
COCHRAN, GA 31014
Phone number: 478-271-0200
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Mailing Address
REGINA PHILLIPS WILEY NP
222 PERRY HWY
HAWKINSVILLE, GA 31036-6748
Phone number: 478-783-0299
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