Individual
STAFFORD PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
429 BILLINGSLEY RD, CHARLOTTE, NC 28211-1007
(704) 445-6900
Mailing address
429 BILLINGSLEY RD, CHARLOTTE, NC 28211-1007
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2021-4023-01
NC
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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