Phillips, Michael Gaines

Phillips, Michael Gaines is an individual health care provider with primary practice located at 27 Creekview Ct Same, Greenville SC 29615-4800. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Phillips, Michael Gaines can be contacted via phone (864) 627-4032.

Contact Information

Primary practice address
27 Creekview Ct Same Greenville SC 29615-4800
Phone: (864) 627-4032
Fax: (864) 627-4035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 730 South Carolina

Profile Details

NPI number 1245280056
LBN Legal business name Phillips, Michael Gaines
Credentials MSN, ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Aug 21st, 2009 - about 16 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 1245280056 NPPES
Other 11854536 CAQH UNIVERSAL PROVIDER ID

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