| Phillips Internal Medicine | |
|
507 Doctor's Drive Elizabethtown NC 28337 | |
| (910) 862-3212 | |
| (910) 862-2263 |
| Full Name | Phillips Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 507 Doctor's Drive, Elizabethtown, North Carolina |
| Authorized Official Name and Position | Ayub Ibrahim (REIMBURSEMENT DIRECTOR) |
| Authorized Official Contact | 9106156994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillips Internal Medicine Po Box 398 Elizabethtown NC 28337-0398 Ph: (910) 862-3212 | Phillips Internal Medicine 507 Doctor's Drive Elizabethtown NC 28337 Ph: (910) 862-3212 |
| NPI Number | 1154436012 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 01/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154436012 | NPI | - | NPPES |
| 8967555 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 15560 (North Carolina) | Primary |
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