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Organization
CARE-A-VAN HOUSE CALLS PC
Active
Organization
CARE-A-VAN HOUSE CALLS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELANA JEAN PHILLIPS MD (OWNER)
(252) 441-9941
Entity
Organization
Contact information
Practice address
142 BEECH TREE TRL, KITTY HAWK, NC 27949-3113
(252) 441-9941
(252) 441-9943
Mailing address
142 BEECH TREE TRL, KITTY HAWK, NC 27949-3113
(252) 441-9941
(252) 441-9943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9600229
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67565
BCBS OF NC
NC
05
—
891192E
—
NC
01
—
CH7794
MEDICARE 'B' RAILROAD
NC
Enumeration date
06/08/2006
Last updated
05/02/2008
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