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1861163198
CODY WAYNE PHILLIPS
DECATUR, GA
NPI
1861163198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 11749)
Enumeration Date
2021-09-27
Last Update Date
2023-12-22
Business Address
Mr. CODY WAYNE PHILLIPS PA-C
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
Mr. CODY WAYNE PHILLIPS PA-C
1419 CALIBRE WOODS DR NE
ATLANTA, GA 30329-3952
Phone number: 904-802-8099
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