Individual
LARRY C. PHILLIPS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
441 E PINEY FOREST RD, DANVILLE, VA 24540
(434) 791-4110
Mailing address
441 E PINEY FOREST RD, DANVILLE, VA 24540
(434) 791-4110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
102445
NC
363AM0700X
Medical Physician Assistant
Primary
0110003402
VA
Other
Enumeration date
07/20/2006
Last updated
05/13/2013
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