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NPI Code Detail

MEDICARE: ZACHARY KEITH PHILLIPS MD

MEDICARE: ZACHARY KEITH PHILLIPS MD
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
1363A00000XPhysician AssistantPA-301AL
2363AS0400XSurgical Physician AssistantPA.301AL

General Provider Information

NPI Number : 1285633263
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY KEITH PHILLIPS MD
Provider Business Mailing Address
First Line : PO BOX 370
Second Line :
City : FORTSON
State : GA
Zip : 31808-0370
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5018 CAHABA RIVER RD
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-2317
Country : US
Telephone Number : 205-397-5200
Fax Number : 205-203-9858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 01/18/2025

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Directions to “ ZACHARY KEITH PHILLIPS MD” Practice Location

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