Individual
MISHA JANELLE PHILLIPS-LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300
(304) 637-3441
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27249
WV
207Q00000X
Family Medicine Physician
30055
SC
Other
Enumeration date
07/03/2007
Last updated
05/01/2024
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