Individual
MELISSA SUSAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1934 ALCOA HWY STE D285, KNOXVILLE, TN 37920
(865) 305-9620
(865) 525-3460
Mailing address
1934 ALCOA HWY STE D285, KNOXVILLE, TN 37920
(865) 305-9620
(865) 525-3460
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD0000047588
TN
208600000X
Surgery Physician
MD47588
TN
390200000X
Student in an Organized Health Care Education/Training Program
0116017624
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525023
—
TN
Enumeration date
05/08/2007
Last updated
02/28/2020
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