Doctor Name: | WENDELL EVERETT PHILLIPS |
NPI Number: | 1326123795 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 012739 |
Business Practice Address: | 11050 Crabapple Rd Suite 104a Roswell, GA - 30075 |
Business Phone Number: | 7709939946 |
Business Fax Number: | 7709936076 |
Mailing Address: | 11050 Crabapple Rd, Suite 104a ROSWELL |
State: | GA |
Postal Code: | 30075 |
Phone Number: | 7709939946 |
Fax Number: | 7709936076 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 12/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 012739 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |