Individual
PHYLLIS SAGE ATWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
152 SOUTHGATE DR, SUITE 3A, BOONE, NC 28607-4959
(828) 265-4370
(828) 265-4354
Mailing address
PO BOX 3559, BOONE, NC 28607-0859
(828) 265-4370
(828) 265-4354
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28609
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1068A
BCBS OF NC
NC
01
—
40950
MEDCOST
NC
05
—
891217K
—
NC
Enumeration date
08/08/2006
Last updated
07/08/2007
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