Kelly Shadman Phillips, PA-C

NPI #1194915496 in Cumming, Georgia

Provider Information

NPI Number: 1194915496
Entity Type: Individual
Name: Kelly Shadman Phillips, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 1, 2007
Last Updated: Jun 2, 2020

Practice Location

Address: 1505 NORTHSIDE FORSYTH BLVD
Address 2: STE 3500
City: Cumming
State: Georgia
ZIP Code: 30041
Phone: (770) 292-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X

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