Individual
JASON VANN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
364 WHITE OAK ST, EMERGENCY DEPARTMENT, ASHEBORO, NC 27203-5434
(336) 629-8807
Mailing address
432 BEAVER DAM RD, LIBERTY, NC 27298-9146
(336) 622-6913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102782
NC
363AM0700X
Medical Physician Assistant
102782
NC
Other
Enumeration date
05/18/2006
Last updated
01/26/2023
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