Individual
JASPER LOUIS PHILLIPS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2522 DOGWOOD LN, KINSTON, NC 28504-7102
(252) 522-0095
Mailing address
2522 DOGWOOD LN, KINSTON, NC 28504-7102
(252) 522-0095
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14275
NC
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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