Individual
AUTUMN TERRY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8595 PELHAM RD STE 400, GREENVILLE, SC 29615-5763
(864) 316-8984
(877) 337-6283
Mailing address
255 SHADYBROOK DR, SUMMERVILLE, SC 29486-2480
(843) 870-2048
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
29967
SC
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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