Phillips, Melissa Susan

Phillips, Melissa Susan is an individual health care provider with primary practice located at 1934 Alcoa Hwy Ste D285 , Knoxville TN 37920. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Phillips, Melissa Susan can be contacted via phone (865) 305-9620.

Contact Information

Primary practice address
1934 Alcoa Hwy Ste D285 Knoxville TN 37920
Phone: (865) 305-9620
Fax: (865) 525-3460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD47588 Tennessee
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116017624 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X MD0000047588 Tennessee

Profile Details

NPI number 1013120815
LBN Legal business name Phillips, Melissa Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Feb 28th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013120815 NPPES
Tennessee MEDICAID 1525023

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