Phillip S. Tully Iii, Dmd, Pc | |
3914 Rosemont Dr Columbus GA 31904-5626 | |
(706) 323-6491 | |
(706) 323-2671 |
Full Name | Phillip S. Tully Iii, Dmd, Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 3914 Rosemont Dr, Columbus, Georgia |
Authorized Official Name and Position | Phillip Shelby Tully (PRESIDENT) |
Authorized Official Contact | 7063236491 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Phillip S. Tully Iii, Dmd, Pc 3914 Rosemont Dr Columbus GA 31904-5626 Ph: (706) 323-6491 | Phillip S. Tully Iii, Dmd, Pc 3914 Rosemont Dr Columbus GA 31904-5626 Ph: (706) 323-6491 |
NPI Number | 1396825667 |
---|---|
Provider Enumeration Date | 10/17/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396825667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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