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Jerry David Phillips JR., MD
Specialist in Bainbridge, Georgia
NPI 1134133523

Jerry David Phillips JR. is a Specialist based in Bainbridge, GA. Jerry David Phillips JR. practices in Bainbridge, GA and has the professional credentials of MD. The NPI Number for Jerry David Phillips JR. is 1134133523 and holds a License No. 042107 (Georgia).

The current practice location address for Jerry David Phillips JR. is 1518 Miluli Ave, Bainbridge, GA and can be reached out via phone at 229-248-8500 and via fax at 229-248-8600.

Location: 1518 Miluli Ave, Bainbridge, GA, 39819-4866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134133523
Provider Name
Jerry David Phillips JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1518 Miluli Ave, Bainbridge, GA, 39819-4866
Phone Number
229-248-8500
Fax Number
229-248-8600
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00749845F 05 GA
08BBQVZ 01 GA MEDICARE-ID
institution
Provider Business Practice Location Address Details
Address
1518 Miluli Ave
City
Bainbridge
State
Georgia
Zip
39819-4866
Phone Number
229-248-8500
Fax Number
229-248-8600
person
Provider Business Mailing Address Details
Address
1518 Miluli Ave
City
Bainbridge
State
Georgia
Zip
39819-4866
Phone Number
229-248-8500
Fax Number
229-248-8600
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
042107 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
042107 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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