Organization
PHILLIPS HEALTHCARE GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FLOYD EDWARD PHILLIPS JR. M.D. (OWNER)
(423) 273-0741
Entity
Organization
Contact information
Practice address
6890 W.A.J. HWY., TALBOTT, TN 37877
(423) 839-2120
(423) 839-2125
Mailing address
PO BOX 879, TALBOTT, TN 37877-0879
(423) 839-2120
(423) 839-2125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD024822
TN
208000000X
Pediatrics Physician
MD024822
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396184222
NPI NUMBER
TN
01
—
1528003886
NPI NUMBER
TN
01
—
1942297916
NPI NUMBER
TN
Enumeration date
03/19/2015
Last updated
03/19/2015
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