Organization
PHILLIPS MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA DUNCAN (BILLER)
(601) 878-6945
Entity
Organization
Contact information
Practice address
909 ELLIS AVE STE 16, JACKSON, MS 39209-6256
(601) 948-8503
(601) 948-8502
Mailing address
909 ELLIS AVE STE 16, JACKSON, MS 39209-6256
(601) 948-8503
(601) 948-8502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10785
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116024
—
MS
Enumeration date
02/27/2008
Last updated
04/30/2014
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