Phillippi, Keith N

Phillippi, Keith N is an individual health care provider with primary practice located at 380 Hospital Drive Suite 410, Macon GA 31217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Phillippi, Keith N can be contacted via phone (478) 746-5644.

Contact Information

Primary practice address
380 Hospital Drive Suite 410 Macon GA 31217
Phone: (478) 746-5644
Fax: (478) 745-4849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036845 Georgia

Profile Details

NPI number 1043202633
LBN Legal business name Phillippi, Keith N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Dec 1st, 2020 - about 4 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 1043202633 NPPES
Georgia MEDICAID 00553517E
Georgia Other 036845
Georgia MEDICAID 0553517B
Georgia Other 391004
Georgia Other P00390637
Georgia MEDICAID 0553517C
Georgia MEDICAID 000553517D
Georgia MEDICAID 000553517G
Georgia MEDICAID 000553517F

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