Individual
ROBERT MACON PHILLIPS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 GALLATIN STREET, SUITE 500, HUNTSVILLE, AL 35801-4414
(256) 551-6510
(256) 551-6507
Mailing address
720 GALLATIN STREET, SUITE 500, HUNTSVILLE, AL 35801-4414
(256) 551-6510
(256) 551-6507
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
8747
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009819
—
AL
01
—
51033733
BC NUMBER
AL
05
—
528600320
—
AL
Enumeration date
07/17/2006
Last updated
09/24/2014
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