Individual
MR. JAMES WIGHT PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2817 REILLY RD, MCXC-COD CREDENTIALS WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310
(910) 907-8922
(910) 907-6069
Mailing address
PO BOX 40908, ATTN. MANAGED CARE PLANNING, FAYETTEVILLE, NC 28309
(910) 615-6949
(910) 615-9761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001000397
NC
Other
Enumeration date
04/28/2006
Last updated
12/16/2016
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