Individual
MINTA ELIZABETH PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1317 N ELM ST, SUITE 1B, GREENSBORO, NC 27401-1023
(336) 274-9617
(336) 482-2177
Mailing address
1317 N ELM STREET, SUITE 1B, GREENSBORO, NC 27401-1023
(336) 274-9617
(336) 482-2177
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34128
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1600768
UNITED HEALTHCARE
NC
01
—
24728
PARTNERS
NC
01
—
300085688
RAILROAD MEDICARE
NC
01
—
67664
BLUE CROSS BLUE SHIELD
NC
01
—
73484
MEDCOST
NC
05
—
8967664
—
NC
Enumeration date
12/01/2005
Last updated
08/10/2012
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