Phillips, Gerry Madison

Phillips, Gerry Madison is an individual health care provider with primary practice located at 6701 Airport Blvd Suite D-330, Mobile AL 36608-6705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Phillips, Gerry Madison can be contacted via phone (251) 607-9797.

Contact Information

Primary practice address
6701 Airport Blvd Suite D-330 Mobile AL 36608-6705
Phone: (251) 607-9797
Fax: (251) 607-7696
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 00009788 Alabama
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 00009788 Alabama

Profile Details

NPI number 1124079603
LBN Legal business name Phillips, Gerry Madison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Nov 30th, 2016 - about 8 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 1124079603 NPPES
Alabama Other 510-13881 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 000013881 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 0112493 BLUE CROSS BLUE SHIELD

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