Organization
PHILLIPS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH FULLERTON PHILLIPS M.D. (PRESIDENT)
(318) 371-2229
Entity
Organization
Contact information
Practice address
607 FLEMING LN, MINDEN, LA 71055-3073
(318) 371-2229
(318) 371-2228
Mailing address
607 FLEMING LN, MINDEN, LA 71055-3073
(318) 371-2229
(318) 371-2228
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1537683
—
LA
Enumeration date
12/12/2006
Last updated
05/13/2021
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