Individual
DR. THOMAS HOGEMAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY, SUITE 350, MATTHEWS, NC 28105-2387
(704) 841-8877
(704) 841-8188
Mailing address
PO BOX 36488, CHARLOTTE, NC 28236-6488
(704) 248-3400
(704) 337-8387
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
36580
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340016949
RAILROAD MCRE #
NC
01
—
67667
BCBS INDIVIDUAL PROV#
NC
01
—
9599
PARTNERS PROVIDER #
NC
Enumeration date
06/13/2006
Last updated
05/15/2008
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