Individual
DR. DERICK PHILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
OLD OXFORD HIGHWAY 75 LSCI, FEDERAL CORRECTIONAL COMPLEX, BUTNER, NC 27509
(919) 575-5000
(919) 575-5061
Mailing address
PO BOX 999, FEDERAL CORRECTIONAL COMPLEX, BUTNER, NC 27509
(919) 575-5000
(919) 575-5061
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD037403E
PA
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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