Dr Jeffrey Martin Phillips, MD | |
4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687-4105 | |
(864) 292-8868 | |
(864) 268-9564 |
Full Name | Dr Jeffrey Martin Phillips |
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Gender | Male |
Speciality | Pediatrics |
Location | 4501 Old Spartanburg Rd, Taylors, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114994316 | NPI | - | NPPES |
303638 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 30363 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Mailing Address | Practice Location Address |
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Dr Jeffrey Martin Phillips, MD 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687-4105 Ph: (864) 292-8868 | Dr Jeffrey Martin Phillips, MD 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687-4105 Ph: (864) 292-8868 |
Dr. Tabitha Martinez Randol, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687 Phone: 864-292-8868 | |
Brian K Few, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687 Phone: 864-292-8868 Fax: 864-331-0992 | |
Carolyn Gardner Schultz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687 Phone: 864-292-8868 Fax: 864-331-0992 | |
Roy A Mages, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687 Phone: 864-292-8868 Fax: 864-331-0992 |