Atwell, Phyllis Sage

Atwell, Phyllis Sage is an sole proprietor health care provider with primary practice located at 152 Southgate Dr Suite 3A, Boone NC 28607-4959. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Atwell, Phyllis Sage can be contacted via phone (828) 265-4370.

Contact Information

Primary practice address
152 Southgate Dr Suite 3A Boone NC 28607-4959
Phone: (828) 265-4370
Fax: (828) 265-4354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 28609 North Carolina

Profile Details

NPI number 1548270325
LBN Legal business name Atwell, Phyllis Sage
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1548270325 NPPES
North Carolina Other 1068A BCBS OF NC
North Carolina Other 40950 BCBS OF NC
North Carolina MEDICAID 891217K BCBS OF NC

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