Healthcare Provider Details

I. General information

NPI: 1346162930
Provider Name (Legal Business Name): DILLON GARRETT PHILLIPS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5964 WHISPERING PINES RD
CASCADE VA
24069-3832
US

IV. Provider business mailing address

5964 WHISPERING PINES RD
CASCADE VA
24069-3832
US

V. Phone/Fax

Practice location:
  • Phone: 434-713-5696
  • Fax:
Mailing address:
  • Phone: 434-713-5696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: