George, Martha Phillips

George, Martha Phillips is an individual health care provider with primary practice located at 1035 S Hartmann Dr , Lebanon TN 37090-4064. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. George, Martha Phillips can be contacted via phone (153) 210-2006.

Contact Information

Primary practice address
1035 S Hartmann Dr Lebanon TN 37090-4064
Phone: (153) 210-2006
Fax: (615) 443-5488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 54687 Tennessee

Profile Details

NPI number 1356509202
LBN Legal business name George, Martha Phillips
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2008
Last updated Oct 12th, 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 1356509202 NPPES
Tennessee MEDICAID Q022762

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