Laura Ragan Phillips PA-C

NPI 1164746236 - Physician Assistant - 363A00000X

NPI Details
NPI 1164746236
Gender Female
Enumeration Date 03/18/2010
Last Updated 03/19/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
1180 RESURGENCE DR
SUITE 100
WATKINSVILLE GA, 30677-7210, US
Phone (706) 543-5858
Fax (706) 543-2050
Business Location
1180 RESURGENCE DR
SUITE 100
WATKINSVILLE GA, 30677-7210, US
Phone (706) 543-5858
Fax (706) 543-2050
Toxanomy
Taxonomy Code 363A00000X
License State Georgia
License Number 5836
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According to our database, Mrs. Laura Ragan Phillips PA-C NPI is 1164746236, taxonomy code is 363A00000X and license number is 5836, license state is located at Georgia. Laura Ragan Phillips PA-C physically located at 1180 Resurgence Dr, Watkinsville GA, 30677-7210. NPI Number Laura Ragan Phillips PA-C has the Individual type.

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1164746236 NPI number is provided on an as is basis without warranty of any kind. 1164746236 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Ragan Phillips PA-C are for informational purposes only.