Phillips, Thomas

Phillips, Thomas is an individual health care provider with primary practice located at 1590 Freedom Blvd Ste. B, Florence SC 29505-6071. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Phillips, Thomas can be contacted via phone (843) 665-9581.

Contact Information

Primary practice address
1590 Freedom Blvd Ste. B Florence SC 29505-6071
Fax: (843) 669-6426
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 7331 South Carolina

Profile Details

NPI number 1649230343
LBN Legal business name Phillips, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Jan 6th, 2014 - about 11 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 1649230343 NPPES
North Carolina MEDICAID 073315
North Carolina Other 4255295
North Carolina Other 470890494
North Carolina MEDICAID 073315
North Carolina Other E2755
North Carolina Other 0700481

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