Organization
PHILIP R. SALEEBY, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP RICHARD SALEEBY M.D. (PRESIDENT)
(912) 265-6344
Entity
Organization
Contact information
Practice address
3212 SHRINE RD, BRUNSWICK, GA 31520-4325
(912) 265-6344
(912) 265-6347
Mailing address
3212 SHRINE RD, BRUNSWICK, GA 31520-4325
(912) 265-6344
(912) 265-6347
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
018544
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00193509A
—
GA
01
—
00950
BLUE CROSS BLUE SHIELD
GA
01
—
10062344
AMERIGROUP
GA
01
—
1558343293
PHILIP R. SALEEBY M.D.
GA
01
—
340890
WELLCARE
GA
Enumeration date
01/28/2008
Last updated
01/28/2008
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