Individual
JILL L TAYLOR PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DRIVE, SUITE 2, CLARKSBURG, WV 26301-4199
(304) 623-3461
Mailing address
1 MEDICAL CENTER DRIVE, CLARKSBURG, WV 26301
(304) 623-3461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25100
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810026349
—
WV
Enumeration date
06/21/2010
Last updated
10/31/2016
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