Dr. Carlton Blake Phillips
MOHS-Micrographic Surgeon
2000 6th Ave S
Birmingham
, Alabama 35294
Dr. Carlton Blake Phillips
MOHS-Micrographic Surgeon
2000 6th Ave S
Birmingham
, Alabama 35294
(205) 583-8040
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Carlton Blake Phillips
- 1720 2nd Ave S # Efh500
- Birmingham, AL
- Zip : 35294-0004
- Phone : (205) 583-8040
Second Address
- Dr. Carlton Blake Phillips
- 2000 6th Ave S
- Birmingham, AL
- Zip : 35294
- Phone : (205) 583-8040
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | MD.33033 | AL |
National Provider Identifier
| NPI | 1083974539 |
|---|---|
| Provider Name | Dr. Carlton Blake Phillips |
| First Address | Birmingham, AL 35294-0004 |
| Second Address | Birmingham, AL 35294 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2012 |
| Last Update Date | 29/08/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.