Individual
ELLEN D PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1118 ROSS CLARK CIR, SUITE 402, DOTHAN, AL 36301-3001
(334) 673-3633
(334) 836-2893
Mailing address
1118 ROSS CLARK CIR, SUITE 402, DOTHAN, AL 36301-3001
(334) 673-3633
(334) 836-2893
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28733
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009928965
—
AL
05
—
172534578A
—
GA
Enumeration date
06/19/2006
Last updated
07/20/2009
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