Susie B Phillips
MD | Pediatrics | Female
Susie B Phillips, MD is a Jackson, Mississippi based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Susie B Phillips is
2500 N State St, Jackson, Mississippi - 39216-4500. She can be contacted on phone at
601-984-2940 and fax number 601-984-2926.
Susie B Phillips is a sole proprietor of her business.
NPI number (Unique professional ID) for Susie B Phillips is
1932463312 which was assigned by NPPES on 29 Jun, 2012 and it was last updated on 09 May, 2017.
Susie B Phillips license number is
23466 for Pediatrics (208000000X) in Mississippi.
Susie B Phillips is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Susie B Phillips basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Susie B Phillips |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Susie B Phillips address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-984-2940 |
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| Fax Number : | 601-984-2926 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932463312 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Jun, 2012 |
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| Last Updated On : | 09 May, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susie B Phillips are as mentioned. Primary taxonomy code for Susie B Phillips, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | T-2592 | MS |
| 208000000X | Pediatrics | Yes | 23466 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Susie B Phillips such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 01022856 | MEDICAID | MS | |
| 194754 | MEDICAID | AL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-984-2940 |
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| Fax Number : | 601-984-2926 |
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Business Location:
Patients can refer following map for directions to
Susie B Phillips practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.