Individual
DR. JAMES E PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 765-4865
Mailing address
2560 N SHADELAND AVE, SUITE A, INDIANAPOLIS, IN 46219-1705
(317) 275-8072
(317) 275-8018
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
011032
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
345985
WELLCARE
GA
01
—
52026301 001
BCBS
GA
Enumeration date
01/17/2006
Last updated
07/08/2007
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