Phillips, Gregory

Phillips, Gregory is an individual health care provider with primary practice located at 337 S White St , Wake Forest NC 27587-2916. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Phillips, Gregory can be contacted via phone (919) 554-0711.

Contact Information

Primary practice address
337 S White St Wake Forest NC 27587-2916
Phone: (919) 554-0711
Fax: (919) 554-1185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 442 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 442 North Carolina

Profile Details

NPI number 1770663635
LBN Legal business name Phillips, Gregory
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Apr 24th, 2009 - about 15 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 1770663635 NPPES
North Carolina Other 08099 BLUECROSS BLUESHIELD

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