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JOHN D PHIPPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
105 VEST MILL CIR, SUITE 201, WINSTON SALEM, NC 27103-2943
(336) 718-7800
(336) 718-7900
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 765-0020
(336) 765-0581

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9501058
NC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
9501058
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10156424
VA
05
891139A
NC
Enumeration date
03/23/2006
Last updated
02/16/2016
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