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Individual

J. DARREN PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AT

Contact information

Practice address
404 N MAIN ST, ENTERPRISE, AL 36330-2563
(334) 308-9797
(334) 836-2247
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2247

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
188
AL

Other

Enumeration date
04/18/2007
Last updated
07/08/2007
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