Phillips, Pam B

Phillips, Pam B is an individual health care provider with primary practice located at 102 Handley Park Court , Goldsboro NC 27534-1769. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Phillips, Pam B can be contacted via phone (919) 734-3344.

Contact Information

Primary practice address
102 Handley Park Court Goldsboro NC 27534-1769
Fax: (919) 735-3025
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 800092 North Carolina

Profile Details

NPI number 1427039502
LBN Legal business name Phillips, Pam B
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jul 8th, 2007 - 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 1427039502 NPPES
North Carolina MEDICAID 7000294

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