| Philip D Doolittle, MD | |
|
1214 Hospital St, Greenville, MS 38703-3213 | |
| (662) 335-9283 | |
| (662) 334-6989 |
| Full Name | Philip D Doolittle |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1214 Hospital St, Greenville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104925148 | NPI | - | NPPES |
| 00115158 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 06401 (Mississippi) | Primary |
| Entity Name | Greenville Surgical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013038330 PECOS PAC ID: 2567501877 Enrollment ID: O20091130000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip D Doolittle, MD 1623 Anne Stokes Rd, Greenville, MS 38701-6908 Ph: (662) 378-9715 | Philip D Doolittle, MD 1214 Hospital St, Greenville, MS 38703-3213 Ph: (662) 335-9283 |
Hugh A Gamble Ii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 344 Arnold Ave, Greenville, MS 38701 Phone: 662-332-8131 Fax: 662-334-4478 | |
Dr. John Carroll Sandefur, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 313 Arnold Ave, Suite A, Greenville, MS 38701 Phone: 662-332-5151 Fax: 662-332-5152 | |
Jeffery Samuel Doolittle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1214 Hospital St, Greenville, MS 38703 Phone: 662-335-9283 |