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Individual

DR. PHYLLIS DEANNE MACGILVRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
877 W FARIS RD STE A, GREENVILLE, SC 29605
(864) 455-7800
(864) 455-9082
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2007-00550
NC
207Q00000X
Family Medicine Physician
Primary
28145
SC
207Q00000X
Family Medicine Physician
R0066
TX

Other

Enumeration date
12/14/2005
Last updated
08/17/2018
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