Phillips, Charles M

Phillips, Charles M is an individual health care provider with primary practice located at 517 Moye Blvd Fl 3 Ecu Physicians Dermatology, Greenville NC 27834-2849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Phillips, Charles M can be contacted via phone (252) 744-3109.

Contact Information

Primary practice address
517 Moye Blvd Fl 3 Ecu Physicians Dermatology Greenville NC 27834-2849
Phone: (252) 744-3109
Fax: (252) 744-2096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 30079 North Carolina

Profile Details

NPI number 1902891872
LBN Legal business name Phillips, Charles M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Dec 5th, 2011 - about 13 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 1902891872 NPPES
North Carolina Other 67705 BCBS NC
North Carolina MEDICAID 8967705 BCBS NC
North Carolina Other 70010076 BCBS NC

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