Individual
DR. RICHARD BLAIR PHINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2170 MIDLAND RD, SOUTHERN PINES, NC 28387-2927
(910) 295-2100
(910) 295-5339
Mailing address
2170 MIDLAND RD, SOUTHERN PINES, NC 28387-2927
(910) 295-2100
(910) 295-5339
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036-082190
IL
207W00000X
Ophthalmology Physician
Primary
2016-00709
NC
207W00000X
Ophthalmology Physician
27985
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060350
IA GROUP MEDICAID
IA
05
—
0078956
—
IA
05
—
036082190
—
IL
01
—
26568
IA GROUP MEDICARE
IA
01
—
790730
IL GROUP MEDICARE
IL
Enumeration date
12/28/2005
Last updated
06/28/2016
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