Phillips, Jeffrey Martin

Phillips, Jeffrey Martin is an individual health care provider with primary practice located at 4501 Old Spartanburg Rd Suite 9, Taylors SC 29687-4105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Phillips, Jeffrey Martin can be contacted via phone (864) 292-8868.

Contact Information

Primary practice address
4501 Old Spartanburg Rd Suite 9 Taylors SC 29687-4105
Phone: (864) 292-8868
Fax: (864) 268-9564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30363 South Carolina

Profile Details

NPI number 1114994316
LBN Legal business name Phillips, Jeffrey Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Sep 14th, 2022 - about 3 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 1114994316 NPPES
South Carolina MEDICAID 303638

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