Jerry C. Phillips in Memphis - Diagnostic Radiology

Jerry C. Phillips - NPI 1124085204

Jerry C. Phillips is a Diagnostic Radiology in Memphis, Tennessee. Jerry C. Phillips practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jerry C. Phillips is 1124085204. The last update date is 2007-07-08.

Jerry C. Phillips's current location address is 66 N Pauline St, Memphis, Tennessee. You can contact this provider via phone number 9014487642 and fax number 9014488015. The mailing address for Jerry C. Phillips is 66 N Pauline St, Memphis, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry C. Phillips
Address 66 N Pauline St, Memphis, Tennessee
Phone Number 9014487642
Fax Number 9014488015
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1124085204
Provider Enumeration Date 2006-05-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 66 N Pauline St
City Memphis
State Tennessee (TN)
Post Code 381055105
Phone Number 9014487642
Fax Number 9014488015

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 4054
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3037458 TN --

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FAQs about Jerry C. Phillips

What is the unique 10-digit identification code issued to Jerry C. Phillips by the Centers for Medicare & Medicaid Services?

The Jerry C. Phillips has been assigned the NPI (National Provider Identifier) 1124085204 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Jerry C. Phillips is physically located?

The Jerry C. Phillips is physically situated at the following address: 66 N Pauline St, Memphis, TN, 381055105.

What is the Jerry C. Phillips's specialty and taxonomy code?

The Jerry C. Phillips's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.

On what date was the 1124085204 assigned to Jerry C. Phillips?

The Jerry C. Phillips was issued its 1124085204 on 2006-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Jerry C. Phillips most recently updated or refreshed?

The details pertaining to the Jerry C. Phillips, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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