Individual
DR. KEVIN D PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1104 MARTHA BERRY BLVD NE, ROME, GA 30165-1612
(706) 291-2077
(706) 235-4177
Mailing address
1104 MARTHA BERRY BLVD NE, ROME, GA 30165-1612
(706) 291-2077
(706) 235-4177
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
059312
GA
2085N0904X
Nuclear Radiology Physician
059312
GA
2085R0202X
Diagnostic Radiology Physician
Primary
059312
GA
2085U0001X
Diagnostic Ultrasound Physician
059312
GA
Other
Enumeration date
06/27/2006
Last updated
09/04/2007
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