Individual
DR. JOHNNY DEAN PHILLIPS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 MCCLENNAN BANKS DR, CHARLESTON, SC 29425-0001
(843) 876-1698
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LL84437
SC
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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