MEDICARE: ZOIE BRIANNE PHILLIPS PA-C

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1427699180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOIE BRIANNE PHILLIPS PA-C

Provider Business Mailing Address
First Line	:	527 OLD MACCUMBER STATION RD
Second Line	:	APT 325
City	:	WILMINGTON
State	:	NC
Zip	:	28405-8531
Country	:	US
Telephone Number	:	910-292-9123
Fax Number	:

Provider Business Practice Location Address
First Line	:	527 OLD MACCUMBER STATION RD APT 325
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28405-8531
Country	:	US
Telephone Number	:	910-292-9123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2019
Last Update Date	:	02/16/2022

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Directions to “ ZOIE BRIANNE PHILLIPS PA-C” Practice Location

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