NPI 1174872451

Jeffrey Carl Phillips, DVM

Practitioner Veterinarian Mascot, TN

Practice location

Address: 3922 Clear Springs Rd, Mascot, TN 37806-1005
Phone: (865) 221-3715

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 5599 (TN)

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Registry record

NPI: 1174872451
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Sep 2012
Record last updated: 2 Sep 2012

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.