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Individual
GREGORY PHILLIPS
Active
Individual
GREGORY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
442
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
442
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08099
BLUECROSS BLUESHIELD
NC
Enumeration date
10/16/2006
Last updated
04/24/2009
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