Phillis, Terry M

Phillis, Terry M is an individual health care provider with primary practice located at 622 Leighton Ave , Anniston AL 36207. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Phillis, Terry M can be contacted via phone (256) 237-6717.

Contact Information

Primary practice address
622 Leighton Ave Anniston AL 36207
Phone: (256) 237-6717
Fax: (256) 237-6717
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21542 Alabama
Allopathic & Osteopathic Physicians / Urology 208800000X 21542 Alabama

Profile Details

NPI number 1750359030
LBN Legal business name Phillis, Terry M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Mar 24th, 2010 - about 14 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 1750359030 NPPES
Alabama Other 051076321 BLUE CROSS AND BLUE SHIEL
Alabama MEDICAID 000076321 BLUE CROSS AND BLUE SHIEL

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