Individual
EMILY NAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 BILTMORE DR, SUITE #2, ROCKINGHAM, NC 28379-4994
(910) 895-6650
(910) 895-6682
Mailing address
PO BOX 1446, ROCKINGHAM, NC 28380-1446
(910) 895-6650
(910) 895-6682
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001000398
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0401PA
—
SC
01
—
2765996A
MEDICARE
NC
Enumeration date
02/14/2006
Last updated
02/17/2009
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