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NPI Profile for PHILLIP M EZELL in PETAL, MS.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Critical Care Medicine |
207RC0200X | 11 | Physician/Internal Medicine |
| NPI # | 1689453524 |
|
| Status | Active | |
| Credentials | FNP-BC, AGACNP-BC | |
| Entity | Individual | |
| Enumeration date | 09/28/2023 | |
| Last updated | 01/05/2026 - About 5 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PHILLIP M EZELL
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PHILLIP M EZELL, FNP-BC, AGACNP-BC