Individual
DERRICK D. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3051 WATSON BLVD, SUITE 525, WARNER ROBINS, GA 31093-8536
(478) 953-4563
(478) 953-4683
Mailing address
3051 WATSON BLVD, SUITE 525, WARNER ROBINS, GA 31093-8536
(478) 953-4563
(478) 953-4683
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
029514
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00344627A
—
GA
Enumeration date
04/27/2006
Last updated
08/13/2012
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