Phillips, Kimberly Young

Phillips, Kimberly Young is an sole proprietor health care provider with primary practice located at 142 Hospital Perimeter Rd , Eatonton GA 31024-8502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Phillips, Kimberly Young can be contacted via phone (706) 485-1145.

Contact Information

Primary practice address
142 Hospital Perimeter Rd Eatonton GA 31024-8502
Fax: (706) 485-6025
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 051711 Georgia

Profile Details

NPI number 1477562379
LBN Legal business name Phillips, Kimberly Young
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Jul 24th, 2008 - about 17 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 1477562379 NPPES
Georgia Other P00322240 RAILROAD MEDICARE
Georgia Other 051711 RAILROAD MEDICARE
Georgia MEDICAID 000954786C RAILROAD MEDICARE
Georgia Other 20-2256065 RAILROAD MEDICARE
Georgia Other DE8801 RAILROAD MEDICARE

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