Jerry David Phillips in Bainbridge - Specialist
Jerry David Phillips - NPI 1134133523
Jerry David Phillips is a Specialist in Bainbridge, Georgia. Jerry David Phillips practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jerry David Phillips is 1134133523. The last update date is 2019-03-07.
Jerry David Phillips's current location address is 1518 Miluli Ave, Bainbridge, Georgia. You can contact this provider via phone number 2292488500 and fax number 2292488600. The mailing address for Jerry David Phillips is 1518 Miluli Ave, Bainbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry David Phillips |
|---|---|
| Address | 1518 Miluli Ave, Bainbridge, Georgia |
| Phone Number | 2292488500 |
| Fax Number | 2292488600 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1134133523 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2019-03-07 |
Provider Mailing Address Detail
| Address | 1518 Miluli Ave |
|---|---|
| City | Bainbridge |
| State | Georgia (GA) |
| Post Code | 398194866 |
| Phone Number | 2292488500 |
| Fax Number | 2292488600 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 42107 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00749845F | GA | -- | |
| 08BBQVZ | GA | MEDICARE-ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jerry David Phillips by the Centers for Medicare & Medicaid Services?
The Jerry David Phillips has been issued the NPI (National Provider Identifier) 1134133523, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jerry David Phillips?
The Jerry David Phillips is situated at 1518 Miluli Ave, in the city of Bainbridge, state of GA, with the zip code 398194866.
What is Jerry David Phillips's area of expertise and its corresponding taxonomy classification?
The Jerry David Phillips's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
When did the Jerry David Phillips receive its 1134133523?
The Jerry David Phillips was issued its 1134133523 on 2006-07-28, which is the date when the organization was assigned this unique identifier.
As of what date were the Jerry David Phillips's details last updated?
The information pertaining to the Jerry David Phillips, including its address, specialty, and other details, was most recently updated on 2019-03-07.