Ezell, Phillip Matthew

Ezell, Phillip Matthew is an individual health care provider with primary practice located at 908 S George Ave , Petal MS 39465-2077. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Ezell, Phillip Matthew can be contacted via phone (601) 544-7441.

Contact Information

Primary practice address
908 S George Ave Petal MS 39465-2077
Phone: (601) 544-7441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 905839 Mississippi
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 905839 Mississippi

Profile Details

NPI number 1689453524
LBN Legal business name Ezell, Phillip Matthew
Credentials FNP-BC, AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2023
Last updated Sep 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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