Individual
JOSHUA F PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1513 LAKELAND DR.,, SUITE 101, JACKSON, MS 39216
(601) 354-4836
(601) 354-2619
Mailing address
1513 LAKELAND DR., SUITE 101, JACKSON, MS 39216
(601) 354-4836
(601) 354-2619
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
18672
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03053368
—
MS
05
—
PENDING
—
MS
Enumeration date
09/22/2006
Last updated
08/06/2010
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