Individual
ATEIAT Z PHILIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1970 W ARLINGTON BLVD, STE A, GREENVILLE, NC 27834-5783
(252) 752-0300
(252) 439-5323
Mailing address
1970 W ARLINGTON BLVD, STE A, GREENVILLE, NC 27834-5783
(252) 752-0300
(252) 439-5323
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
92
NC
174400000X
Specialist
Primary
9600680
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891082A
—
NC
Enumeration date
11/01/2006
Last updated
07/01/2010
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