Phillips, Mark T
Phillips, Mark T is an individual health care provider with primary practice located at 1600 22Nd Ave Medical Towers Iii, 3Rd Floor, Meridian MS 39301-3223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Phillips, Mark T can be contacted via phone (601) 693-1055.Contact Information
Primary practice address
1600 22Nd Ave Medical Towers Iii, 3Rd Floor
Meridian MS 39301-3223
Phone: (601) 693-1055
Fax: (601) 482-5312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 11068 | Mississippi |
Profile Details
| NPI number | 1821124728 |
|---|---|
| LBN Legal business name | Phillips, Mark T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Nov 19th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821124728 | NPPES |
| Mississippi | MEDICAID | 0110336 |
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