Organization
PHILLIPS FAMILY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED PHILLIPS APRN (OWNER/PRACTITIONER)
(901) 438-8451
Entity
Organization
Contact information
Practice address
2921 HWY 77 S, SUITES 12-13, MARION, AR 72364-2367
(901) 438-8451
Mailing address
2921 HWY 77 S, SUITES 12-13, MARION, AR 72364-2367
(901) 438-8451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003572
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043527336
PROVIDER'S NPI NUMBER
—
05
—
1043527336
—
AR
Enumeration date
05/28/2015
Last updated
05/28/2015
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