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Individual

DR. ERVIN L PHIPPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
155 NASHVILLE COMMONS DR, NASHVILLE, NC 27856-1823
(252) 453-7769
(252) 459-6539
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36244
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1105239
FIRST HEALTH ID
NC
01
1445798
UNITED HEALTHCARE ID
NC
01
3368838
CIGNA ID
NC
01
4635513
AETNA ID
NC
01
67447
BLUE CROSS BLUE SHIELD
NC
05
89676447
NC
01
D4352
MEDCOST ID
NC
Enumeration date
08/10/2005
Last updated
08/09/2021
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