# PHILLIPS CHIROPRACTIC, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699110437
- **Authorized official:** CHARLES BAILEY PHILLIPS JR. D.C. (PRESIDENT)
- **Authorized official phone:** (478) 475-4131

## Contact information

- **Practice address:** 4045 VINEVILLE AVE, MACON, GA 31210-5039
- **Practice address phone:** (478) 475-4131
- **Practice address fax:** (475) 475-4128
- **Mailing address:** 4045 VINEVILLE AVE, MACON, GA 31210-5039
- **Mailing address phone:** (478) 475-4131
- **Mailing address fax:** (475) 475-4128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 006566 | GA | Yes |

## Other

- **Enumeration date:** 05/07/2013
- **Last updated:** 05/07/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1023017548 | INDIVIDUAL NPI | GA |