| Awc Services PC | |
|
18000 W 9 Mile Rd Ste 525 Southfield MI 48075-4080 | |
| (248) 327-6196 | |
| Not Available |
| Full Name | Awc Services PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 18000 W 9 Mile Rd Ste 525, Southfield, Michigan |
| Authorized Official Name and Position | Eric Phillips (OWNER) |
| Authorized Official Contact | 2483276196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Awc Services PC 18000 W 9 Mile Rd Ste 525 Southfield MI 48075-4080 Ph: (248) 327-6196 | Awc Services PC 18000 W 9 Mile Rd Ste 525 Southfield MI 48075-4080 Ph: (248) 327-6196 |
| NPI Number | 1821983396 |
|---|---|
| Provider Enumeration Date | 06/12/2025 |
| Last Update Date | 06/12/2025 |
| Certification Date | 06/12/2025 |
| Medicare PECOS PAC ID | 5294235727 |
|---|---|
| Medicare Enrollment ID | O20250820003166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821983396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| Provider Name | Eric a Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437135134 PECOS PAC ID: 2062323561 Enrollment ID: I20080627000070 |
| Provider Name | Susanne M Garay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952867905 PECOS PAC ID: 9739429358 Enrollment ID: I20190319000680 |
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