MEDICARE: BOBBIE PHILLIP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1144194531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOBBIE PHILLIP LLC

Provider Business Mailing Address
First Line	:	1121 WORTHINGTON WOODS BLVD # 6222
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43085-1568
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	788 MORRISON RD
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-6642
Country	:	US
Telephone Number	:	614-626-0011
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAWNEQUA WRIGHT
Credential	:
Telephone Number	:	216-357-9874

Provider Enumeration Date	:	09/30/2025
Last Update Date	:	09/30/2025

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Directions to “BOBBIE PHILLIP LLC ” Practice Location

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