Individual
MR. CHARLES HENRY PHILLIPS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1915 W PARK DR STE 103, NORTH WILKESBORO, NC 28659-3777
(336) 838-9553
Mailing address
1915 W PARK DR STE 103, NORTH WILKESBORO, NC 28659-3777
(336) 838-9553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05417
NC
363A00000X
Physician Assistant
0110005603
VA
363A00000X
Physician Assistant
41019
MT
Other
Enumeration date
01/28/2015
Last updated
02/15/2026
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