Individual
MRS. COURTNEY WINGO PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
764 SACO LOWELL RD, EASLEY, SC 29640-3880
(864) 855-5525
(864) 855-5440
Mailing address
764 SACO LOWELL RD, EASLEY, SC 29640-3880
(864) 855-5525
(864) 855-5440
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1480
SC
Other
Enumeration date
10/21/2009
Last updated
03/13/2013
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