DR. Randall Jerald Phillips, D.M.D.

NPI #1104083997 in Gainesville, Georgia

Provider Information

NPI Number: 1104083997
Entity Type: Individual
Name: DR. Randall Jerald Phillips, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: May 20, 2008
Last Updated: May 20, 2008

Practice Location

Address: 516 CANDLER ST
City: Gainesville
State: Georgia
ZIP Code: 30501-3332
Phone: (770) 536-1222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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