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Mr. Willie Phillips II

Sports Medicine

1900 Selwyn Ave
Charlotte , North Carolina 28274-0001

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Mr. Willie Phillips II

Sports Medicine

1900 Selwyn Ave
Charlotte , North Carolina 28274-0001

(704) 337-2405

Write a Review Save Call

Mr. Willie Phillips II

Sports Medicine

1900 Selwyn Ave
Charlotte , North Carolina 28274-0001

(704) 337-2405 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine

Languages spoken

  • English

Location

1900 Selwyn Ave Charlotte , North Carolina 28274-0001

First Address

  • Mr. Willie Phillips II
  • 1900 Selwyn Ave
  • Charlotte, NC
  • Zip : 28274-0001
  • Phone : (704) 337-2405

Second Address

  • Mr. Willie Phillips II
  • 1900 Selwyn Ave
  • Charlotte, NC
  • Zip : 28274-0001
  • Phone : (704) 337-2405

Reviews

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FAQs


Where did Mr. Willie Phillips II attend graduate school?

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Where did Mr. Willie Phillips II do his residency?

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Where did Mr. Willie Phillips II do his fellowship?

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Is Mr. Willie Phillips II board certified?

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What type of doctor is Mr. Willie Phillips II

Sports Medicine

In what state does Mr. Willie Phillips II practice in?

North Carolina

Where is Mr. Willie Phillips II’s practice located?

1900 Selwyn Ave , Charlotte, North Carolina, 28274-0001

What is Mr. Willie Phillips II’s gender?

Male

Is Mr. Willie Phillips II a sole practitioner?

No

Is Mr. Willie Phillips II accepting new patients?

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What languages does Mr. Willie Phillips II speak?

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Does Mr. Willie Phillips II accept insurance?

Yes, Mr. Willie Phillips II accepts insurance

Does Mr. Willie Phillips II offers telemedicine?

Mr. Willie Phillips II has not indicated if he offers telemedicine

What is Mr. Willie Phillips II’s professional license number?

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What is Mr. Willie Phillips II’s NPI number?

1154813756

Does Mr. Willie Phillips II have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2081S0010X Sports Medicine LAT-3766 NC
Y 213ES0000X Sports Medicine LAT-3766 NC

National Provider Identifier

NPI 1154813756
Provider Name Mr. Willie Phillips II
First Address Charlotte, NC 28274-0001
Second Address Charlotte, NC 28274-0001
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 31/05/2018
Last Update Date 31/05/2018

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
2000008378 NATABOC (01) CA
LAT-3766 NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS (01) NC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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