Individual
GREGORY R PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 ACADEMY ST S, AHOSKIE, NC 27910-3248
(252) 209-3000
Mailing address
500 ACADEMY ST S, AHOSKIE, NC 27910-3248
(252) 209-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000143740
TN
367500000X
Certified Registered Nurse Anesthetist
5172
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
RN240465
GA
Other
Enumeration date
06/25/2008
Last updated
12/09/2020
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