Individual
MS. CANDICE T PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DRPH
Contact information
Practice address
2612 E MONROE AVE, WEST MEMPHIS, AR 72301-6032
(901) 352-8566
Mailing address
2612 E MONROE AVE, WEST MEMPHIS, AR 72301-6032
(901) 352-8566
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
105121
—
246RP1900X
Phlebotomy Technician
Primary
2657421
AR
261QR1100X
Research Clinic/Center
105121
AR
347C00000X
Private Vehicle
908464201
AR
390200000X
Student in an Organized Health Care Education/Training Program
2901552
MN
Other
Enumeration date
09/20/2025
Last updated
09/20/2025
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