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Individual

CARL DAVID PHIPPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
624 QUAKER LN, SUITE 208C, HIGH POINT, NC 27262-3832
(336) 802-2085
(336) 802-2086
Mailing address
1701 WESTCHESTER DR, STE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2001

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
9801013
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1040014627
RR MEDICARE
NC
05
8911371
NC
Enumeration date
07/17/2006
Last updated
07/06/2009
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