Individual
STAN D. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9710 SAM FURR RD, UNIT D, HUNTERSVILLE, NC 28078-4977
(704) 896-1909
Mailing address
9710 SAM FURR RD UNIT D, HUNTERSVILLE, NC 28078-4928
(704) 896-1909
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0097-01107
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891108A
—
NC
Enumeration date
07/31/2006
Last updated
01/24/2012
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