Phillips, Derrick D.

Phillips, Derrick D. is an individual health care provider with primary practice located at 3051 Watson Blvd Suite 525, Warner Robins GA 31093-8536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Phillips, Derrick D. can be contacted via phone (478) 953-4563.

Contact Information

Primary practice address
3051 Watson Blvd Suite 525 Warner Robins GA 31093-8536
Phone: (478) 953-4563
Fax: (478) 953-4683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 029514 Georgia

Profile Details

NPI number 1396702965
LBN Legal business name Phillips, Derrick D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Aug 13th, 2012 - about 12 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 1396702965 NPPES
Georgia MEDICAID 00344627A

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