Individual
MRS. KARYNTHIA A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSM,PA-C
Contact information
Practice address
2275 MURFREESBORO PIKE, SUITE 109-110, NASHVILLE, TN 37217-3341
(615) 833-6898
(615) 833-6895
Mailing address
2275 MURFREESBORO PIKE, SUITE 109-110, NASHVILLE, TN 37217-3341
(615) 833-6898
(615) 833-6895
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA841
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174518104
NPI
TN
05
—
3669270
—
TN
01
—
36692701
MEDICARE OTHER TULLAHOMA
TN
05
—
36692701
—
TN
01
—
3669274
MEDICARE OTHER DUE WEST
TN
05
—
3669274
—
TN
01
—
4044007
DUE WEST BCBS
TN
01
—
4131037
BCBS
TN
01
—
4137131
DUE WEST BCBS
TN
01
—
4144463
TULLAHOMA BCBS
TN
01
—
TN0101
TULLAHOMA AMERICHOICE
TN
Enumeration date
09/15/2005
Last updated
11/15/2012
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