Individual
NATHANAEL ELVIN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
329 NC HIGHWAY 801 N, BERMUDA RUN, NC 27006-7905
(336) 716-9253
(336) 716-0030
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-9253
(336) 716-0030
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
93161
SC
208M00000X
Hospitalist Physician
2021-02003
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/21/2017
Last updated
09/09/2024
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