Organization
CARL PHILLIPS NP SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL DOUGLAS PHILLIPS (OWNER)
(318) 542-4288
Entity
Organization
Contact information
Practice address
109 YORKTOWN DR STE A, ALEXANDRIA, LA 71303-3673
(318) 542-4288
Mailing address
109 YORKTOWN DR STE A, ALEXANDRIA, LA 71303-3673
(318) 704-0796
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/11/2021
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