Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 264796 | NY |
Y | 207RG0100X | Gastroenterologist | 52729 | TN |
NPI | 1013120344 |
---|---|
Provider Name | George M Philips |
First Address | Chattanooga, TN 37403 |
Second Address | Chattanooga, TN 37403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 10/09/2015 |