Individual
DR. CARROLL NILES PHILLIPS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
414 ZEAGLER DR, PALATKA, FL 32177-3815
(386) 328-4123
Mailing address
414 ZEAGLER DR, PALATKA, FL 32177-3815
(386) 328-4123
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS22841
FL
Other
Enumeration date
04/05/2020
Last updated
10/18/2025
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