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Contact Information

PHYLLIS DUNHAM
349 COLESBURG-TOMPKIN RD.
WOODBINE, GA31569
 Phone: 904-553-6187
 Fax: 912-576-5052
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for PHYLLIS DUNHAM · (Female)

NPI Number 1326281783
Status Active
Credentials
Entity Individual
Enumeration date 04/15/2009
Last updated 03/27/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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