Phillips, Mark
Phillips, Mark is an sole proprietor health care provider with primary practice located at 4586 Valley Pkwy Se Unite E 4586 Valley Pkwy Se Unit E, Smyrna GA 30082. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Phillips, Mark can be contacted via phone (914) 943-1442.Contact Information
Primary practice address
4586 Valley Pkwy Se Unite E 4586 Valley Pkwy Se Unit E
Smyrna GA 30082
Phone: (914) 943-1442
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X |
Profile Details
| NPI number | 1407631468 |
|---|---|
| LBN Legal business name | Phillips, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2023 |
| Last updated | Aug 29th, 2023 - about last year |
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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