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Contact Information

PAUL A PHILLIPS, DO
58 CARROLL STREET
LEBANON, VA24266
 Phone: 276-883-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PAUL A PHILLIPS · (Male)

NPI Number 1538352604
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/22/2007
Last updated 04/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 1988
  • TN License # DO1988
  • VA License # 0102202256
  • VA Medicaid 1538352604
  • TN Other 3714470 GROUP MEDICARE
  • TN Other 621052914073 TRICARE
Hospital affiliation(s)
  • RUSSELL COUNTY MEDICAL CENTER - (Acute Care)
    58 CARROLL STREET
    LEBANON, VA 24266
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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