Individual
DR. THOMAS PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1590 FREEDOM BLVD, STE. B, FLORENCE, SC 29505-6071
(843) 665-9581
(843) 669-6426
Mailing address
947 S IRBY ST, FLORENCE, SC 29501-5238
(843) 665-9581
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7331
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700481
CAROLINA CARE PLAN
SC
05
—
073315
—
NC
05
—
073315
—
SC
01
—
4255295
AETNA
SC
01
—
470890494
STANDARD TAX ID
SC
01
—
E2755
MEDCOST
SC
Enumeration date
03/25/2006
Last updated
01/06/2014
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