Individual
CLYDE BENNETT PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1464 MEDICAL PARK CIR, TUPELO, MS 38801-6595
(662) 844-8699
(662) 844-7087
Mailing address
PO BOX 1768, TUPELO, MS 38802-1768
(662) 844-8699
(662) 844-7087
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
08406
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010415
—
MS
01
—
2840610001
DMERC
—
01
—
P00007401
RAILROAD MEDICARE
—
Enumeration date
07/14/2005
Last updated
01/28/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us