Individual
DR. MICHAEL JEROME PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3110 WELLONS BLVD, SUITE C, NEW BERN, NC 28562-5247
(252) 638-2515
(252) 638-8538
Mailing address
PO BOX 602522, CHARLOTTE, NC 28260-2522
(252) 638-2515
(252) 638-8538
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
38408
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8967661
—
NC
Enumeration date
04/06/2006
Last updated
05/16/2014
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