NPI 1073079125

Riley Phillips, PAC

Practitioner Physician Assistant Hattiesburg, MS

Practice location

Address: 3688 Veterans Memorial Dr, Hattiesburg, MS 39401-8246
Phone: (601) 554-7400
Fax: (601) 554-7499
Mailing address: 3688 Veterans Memorial Dr STE 200, Hattiesburg, MS 39401-8246

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1073079125
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2019
Record last updated: 23 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.