Phillips, Riley

Phillips, Riley is an individual health care provider with primary practice located at 3688 Veterans Memorial Dr , Hattiesburg MS 39401-8246. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Phillips, Riley can be contacted via phone (601) 554-7400.

Contact Information

Primary practice address
3688 Veterans Memorial Dr Hattiesburg MS 39401-8246
Phone: (601) 554-7400
Fax: (601) 554-7499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Mississippi

Profile Details

NPI number 1073079125
LBN Legal business name Phillips, Riley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2019
Last updated May 23rd, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073079125 NPPES
Mississippi MEDICAID 07821201

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