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Organization

PHILLIP N. GOLOMB, MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILLIP NATHAN GOLOMB M. D. (PRESIDENT)
(334) 227-7778
Entity
Organization

Contact information

Practice address
19 MILNER STREET, FORT DEPOSIT, AL 36032
(334) 227-7778
Mailing address
PO BOX 392, FORT DEPOSIT, AL 36032-0392
(334) 227-7778

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8601
AL

Other

Enumeration date
10/29/2007
Last updated
10/29/2007
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