PHYLLIS BIRT

GAINESVILLE, GA
NPI1679852438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN031752)
Enumeration Date2011-08-11
Last Update Date2011-08-11
Business Address
-- PHYLLIS BIRT LPN
915 INTERSTATE RIDGE DR SUITE G
GAINESVILLE, GA 30501-7076
Phone number: 678-513-5700
Mailing Address
-- PHYLLIS BIRT LPN
4331 THURMOND TANNER RD
FLOWERY BRANCH, GA 30542-2829
Phone number: 678-513-5700
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