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Individual

DR. MYRA AURELIA PHIPPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
303 DACUSVILLE HWY, EASLEY, SC 29640-1510
(864) 855-0853
(864) 855-5882
Mailing address
201 FAIRVIEW AVE, GREENVILLE, SC 29601-4311
(864) 855-0853
(864) 855-5882

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20402
SC

Other

Enumeration date
06/14/2007
Last updated
07/08/2007
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