CHARLES KENNETH PHILLIPS

FORT VALLEY, GA
NPI1851174783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN232230)
Enumeration Date2023-08-15
Last Update Date2023-09-13
Business Address
CHARLES KENNETH PHILLIPS FNP
209 N CAMELLIA BLVD
FORT VALLEY, GA 31030-3368
Phone number: 478-822-0054
Mailing Address
CHARLES KENNETH PHILLIPS FNP
209 N CAMELLIA BLVD
FORT VALLEY, GA 31030-3368
Phone number: 478-822-0054