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1528166717
WALLACE SCOTT PHILLIPS
ATHENS, GA
NPI
1528166717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN097986)
Enumeration Date
2006-09-20
Last Update Date
2022-06-16
Business Address
WALLACE SCOTT PHILLIPS CRNA
1031 SCOTT TER
ATHENS, GA 30606-6271
Phone number: 706-549-2700
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Mailing Address
WALLACE SCOTT PHILLIPS CRNA
1031 SCOTT TER
ATHENS, GA 30606-6271
Phone number: 706-424-1633
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