Individual
MICHAEL JAY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 NEWMAN RD, NEW BERN, NC 28562-5239
(252) 633-2081
(252) 633-3446
Mailing address
PO BOX 68, POLLOCKSVILLE, NC 28573-0068
(252) 635-3906
(252) 224-0378
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2013-00879
NC
208600000X
Surgery Physician
36110
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32088700
—
WI
Enumeration date
02/02/2006
Last updated
05/23/2019
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