Individual
STEPHEN J. PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8609 MONTAGUE LN, MYRTLE BEACH, SC 29588-4504
(843) 215-3363
(843) 215-7201
Mailing address
8609 MONTAGUE LN, MYRTLE BEACH, SC 29588-4504
(843) 215-3363
(843) 215-7201
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26821
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q00271
—
SC
Enumeration date
04/28/2006
Last updated
02/22/2013
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