Individual
JOHN B PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 SKYLINE LN, PARSONS, TN 38363-2345
(731) 847-6373
(731) 847-6579
Mailing address
50 SKYLINE LN, PARSONS, TN 38363-2345
(731) 847-6373
(731) 847-6579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000010756
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3176892
—
TN
01
—
4404
BLUE CROSS
TN
Enumeration date
11/03/2005
Last updated
09/20/2011
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