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Contact Information

TRACY L PHILLIPS, AGCNS-BC
1120 15TH ST
AUGUSTA, GA30912-0004
 Phone: 706-446-5534
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for TRACY L PHILLIPS · (Female)

NPI # 1417614918
Status Active
Credentials AGCNS-BC
Entity Individual
Enumeration date 11/19/2021
Last updated 11/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 23860
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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