Individual
ESLIE ROLLAND PHILLIPS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1028 LEE ANN DR NE, SUITE 200, CONCORD, NC 28025-2911
(704) 782-1892
Mailing address
1028 LEE ANN DR NE, SUITE 200, CONCORD, NC 28025-2911
(704) 782-1892
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31613
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67603
BCBS
NC
05
—
8967603
—
NC
05
—
Q31613
—
SC
Enumeration date
04/10/2006
Last updated
11/20/2013
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