Organization
JEREMY PHILLIPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA REA (BILLING)
(336) 617-8113
Entity
Organization
Contact information
Practice address
1901 WESTRIDGE RD STE 100, GREENSBORO, NC 27410-2425
(336) 617-8113
(336) 617-8190
Mailing address
1901 WESTRIDGE RD STE 100, GREENSBORO, NC 27410-2425
(336) 617-8113
(336) 617-8190
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3876
NC
Other
Enumeration date
09/05/2008
Last updated
09/10/2020
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