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NPI Profile for SUSAN M PHILLIPS in JONESBOROUGH, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
163WG0000X |
| NPI # | 1487978995 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 03/26/2010 | |
| Last updated | 03/26/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SUSAN M PHILLIPS
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SUSAN M PHILLIPS, RN