Organization
PHILLIPS PEDIATRICS, LLC
Active
Other names
Phillips Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE DURST PHILLIPS DO (MEMBER)
(662) 371-1543
Entity
Organization
Contact information
Practice address
2682 W OXFORD LOOP STE 130, OXFORD, MS 38655-5441
(662) 371-1543
(662) 371-1548
Mailing address
2682 W OXFORD LOOP STE 130, OXFORD, MS 38655-5441
(662) 371-1543
(662) 371-1548
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01224088
—
MS
Enumeration date
09/26/2019
Last updated
02/12/2020
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