Phillips, Thomas Wilson

Phillips, Thomas Wilson is an individual health care provider with primary practice located at 20 Glenlake Pkwy Radiation Oncology, Atlanta GA 30328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Phillips, Thomas Wilson can be contacted via phone (404) 365-0966.

Contact Information

Primary practice address
20 Glenlake Pkwy Radiation Oncology Atlanta GA 30328
Phone: (404) 365-0966
Fax: (404) 851-6010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 0012112 Georgia

Profile Details

NPI number 1487655528
LBN Legal business name Phillips, Thomas Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Mar 12th, 2013 - about 12 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 1487655528 NPPES
Georgia MEDICAID 00144559H

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