Phillip Tate Weller
Phillip Tate Weller is a Student in an Organized Health Care Education/Training Program in Augusta, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2022
Practice location Address checks out
1120 15th St # GC5110Augusta, GA 30912-0004
Phone: (435) 659-4336
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence DN122883 (GA) |
|---|
Record details
| NPI number | 1780339010 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 15, 2022 |
| Last updated in NPPES | November 4, 2022 |
| Certification date | November 4, 2022 |
| Mailing address | 1120 15th St # Gc5110, Augusta, GA 30912-0004 |
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