Individual
JOEL C PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28 MEDICAL RIDGE DR, GREENVILLE, SC 29605-4267
(864) 271-7440
(864) 271-6001
Mailing address
28 MEDICAL RIDGE DR, GREENVILLE, SC 29605-4267
(864) 271-7440
(864) 271-6001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
19877
SC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
19877
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198770
—
SC
Enumeration date
10/05/2006
Last updated
01/28/2014
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