Individual
DR. PHILLIP BLAINE LEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 N FLOWOOD DR STE A, FLOWOOD, MS 39232-9532
(601) 933-6132
Mailing address
PO BOX 321359, FLOWOOD, MS 39232-1359
(601) 936-1395
(601) 933-6596
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
14786
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000116599
—
MS
Enumeration date
08/20/2006
Last updated
08/19/2020
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