Individual
DR. ANDREA L PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.
Contact information
Practice address
909 WESTLAND SVC DRIVE, JACKSON, MS 39209
(601) 948-8501
Mailing address
817 BRANDON AVE, JACKSON, MS 39209-6235
(601) 969-1756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10785
MS
Other
Enumeration date
09/26/2006
Last updated
07/09/2007
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