Phillips, John Gordon

Phillips, John Gordon is an individual health care provider with primary practice located at 200 Patewood Dr Suite B-400, Greenville SC 29615-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Phillips, John Gordon can be contacted via phone (864) 454-4368.

Contact Information

Primary practice address
200 Patewood Dr Suite B-400 Greenville SC 29615-3593
Phone: (864) 454-4368
Fax: (864) 454-4348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 15939 South Carolina

Profile Details

NPI number 1790731412
LBN Legal business name Phillips, John Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Feb 16th, 2018 - about 7 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 1790731412 NPPES
South Carolina MEDICAID 159394
South Carolina Other 040010804

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