Individual
MEGAN LATIMER PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 MEDICAL PARK DR, HUMBOLDT, TN 38343-3034
(731) 784-4300
Mailing address
16 RACHEL DR APT 7, JACKSON, TN 38305-8611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2570
TN
Other
Enumeration date
07/31/2014
Last updated
01/16/2015
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