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Individual

DR. FRANCIS M. PHILLIPPI III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9471
(601) 703-9936
Mailing address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9471
(601) 703-9936

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
09508
MS
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
09508
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00115969
MS
01
009505500
MEDICAID OF AL
01
220008209
RAILROAD MEDICARE
01
73013141
BLUE CROSS OF AL
Enumeration date
09/22/2005
Last updated
02/14/2019
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