Individual
DR. HARVEY GENE PHILLIPS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1348 SOUTH 18TH STREET, SUITE 100, FERNANDINA BEACH, FL 32034-4755
(904) 261-0878
(904) 277-7054
Mailing address
4800 BELFORT ROAD, JACKSONVILLE, FL 32256
(904) 398-3262
(904) 265-4807
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 97783
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278127100
—
FL
Enumeration date
09/21/2006
Last updated
08/27/2014
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