Phillips, David J
Phillips, David J is an individual health care provider with primary practice located at 2051-B Hamill Road Suite 103, Hixson TN 37343-4653. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Phillips, David J can be contacted via phone (423) 756-8871.Contact Information
Primary practice address
2051-B Hamill Road Suite 103
Hixson TN 37343-4653
Phone: (423) 756-8871
Fax: (423) 475-8976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 27286 | Tennessee |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 27286 | Tennessee |
Profile Details
| NPI number | 1497730212 |
|---|---|
| LBN Legal business name | Phillips, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Nov 24th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497730212 | NPPES |
| Georgia | MEDICAID | 000722301D |
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