Phillips, Ruthann

Phillips, Ruthann is an individual health care provider with primary practice located at 758 Old Norcross Rd Suite 100, Lawrenceville GA 30046-3385. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Phillips, Ruthann can be contacted via phone (770) 962-4300.

Contact Information

Primary practice address
758 Old Norcross Rd Suite 100 Lawrenceville GA 30046-3385
Phone: (770) 962-4300
Fax: (770) 339-7544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 001106 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001106 Georgia

Profile Details

NPI number 1649277591
LBN Legal business name Phillips, Ruthann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Nov 11th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649277591 NPPES
Georgia MEDICAID 000301914C

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