Organization
PHILLIPS CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BAILEY PHILLIPS JR. D.C. (PRESIDENT)
(478) 475-4131
Entity
Organization
Contact information
Practice address
4045 VINEVILLE AVE, MACON, GA 31210-5039
(478) 475-4131
(475) 475-4128
Mailing address
4045 VINEVILLE AVE, MACON, GA 31210-5039
(478) 475-4131
(475) 475-4128
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
006566
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023017548
INDIVIDUAL NPI
GA
Enumeration date
05/07/2013
Last updated
05/07/2013
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