Individual
MICHAEL S PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 ENTERPRISE BLVD, SUITE 208, GREENVILLE, SC 29615-6301
(864) 254-6070
(864) 254-6182
Mailing address
10 ENTERPRISE BLVD, SUITE 208, GREENVILLE, SC 29615
(864) 254-6070
(864) 254-6182
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12544
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125448
—
SC
Enumeration date
05/06/2006
Last updated
08/21/2020
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