Phillips, Dan Emory

Phillips, Dan Emory is an individual health care provider with primary practice located at 250 Martin Luther King Jr Blvd , Macon GA 31201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Phillips, Dan Emory can be contacted via phone (478) 301-4111.

Contact Information

Primary practice address
250 Martin Luther King Jr Blvd Macon GA 31201
Fax: (478) 301-5812
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD067225L Pennsylvania

Profile Details

NPI number 1194710194
LBN Legal business name Phillips, Dan Emory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Jul 18th, 2014 - about 10 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 1194710194 NPPES
Georgia MEDICAID 320705169A

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