| Doctor Name: | SUSAN J PHILLIPS |
| NPI Number: | 1073664389 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M. D. |
| License Number: | 9924 |
| Business Practice Address: | 2470 Rocky Ridge Rd Suite 200 Vestavia, AL - 352432833 |
| Business Phone Number: | 2052863200 |
| Business Fax Number: | 2052863201 |
| Mailing Address: | 2470 Rocky Ridge Rd, Suite 200 VESTAVIA |
| State: | AL |
| Postal Code: | 352432833 |
| Phone Number: | 2052863200 |
| Fax Number: | 2052863201 |
| NPI Enumeration Date: | 01/15/2007 |
| NPI Last Update Date: | 01/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 9924 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |