Individual
MR. DUSTIN DEWELLS PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
990 WISACKY HWY # NA, BISHOPVILLE, SC 29010-1775
(803) 428-2800
Mailing address
990 WISACKY HWY, BISHOPVILLE, SC 29010-1775
(803) 428-2800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21623
SC
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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