| Kimberly Young Phillips, MD, PC | |
|
142 Hospital Perimeter Rd Eatonton GA 31024-8502 | |
| (706) 485-1145 | |
| (706) 485-6025 |
| Full Name | Kimberly Young Phillips, MD, PC |
|---|---|
| Speciality | Family Medicine |
| Location | 142 Hospital Perimeter Rd, Eatonton, Georgia |
| Authorized Official Name and Position | Kimberly Young Phillips (OWNER, PRESIDENT) |
| Authorized Official Contact | 7064851145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Young Phillips, MD, PC 142 Hospital Perimeter Rd Eatonton GA 31024-8502 Ph: (706) 485-1145 | Kimberly Young Phillips, MD, PC 142 Hospital Perimeter Rd Eatonton GA 31024-8502 Ph: (706) 485-1145 |
| NPI Number | 1871502799 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 05/14/2008 |
| Medicare PECOS PAC ID | 5799722781 |
|---|---|
| Medicare Enrollment ID | O20050412000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871502799 | NPI | - | NPPES |
| DE8801 | Other | GA | RAILROAD MEDICARE |
| 893856 | Other | GA | BLUE CROSS BLUE SHIELD |
| 051711 | Other | GA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 051711 (Georgia) | Primary |
| Provider Name | Kimberly Y Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477562379 PECOS PAC ID: 5991764144 Enrollment ID: I20041005000368 |
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