Individual
DAN M PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
406 US 1 HWY STE A, YOUNGSVILLE, NC 27596-7847
(919) 679-1880
(800) 507-0902
Mailing address
464 SHADY OAK RD, ROXBORO, NC 27574-9051
(336) 322-4333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39060
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8967602
—
NC
Enumeration date
02/08/2007
Last updated
04/10/2025
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