Provider Demographics
NPI:1003954181
Name:MCNAUGHTON, PHILIP Z (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:Z
Last Name:MCNAUGHTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7805 WATERS AVE STE 9A
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-2445
Mailing Address - Country:US
Mailing Address - Phone:912-355-3106
Mailing Address - Fax:912-355-6977
Practice Address - Street 1:7805 WATERS AVE STE 9A
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2445
Practice Address - Country:US
Practice Address - Phone:912-355-3106
Practice Address - Fax:912-355-6977
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA019553207N00000X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207N00000XAllopathic & Osteopathic PhysiciansDermatology
Not Answered207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD30202Medicare UPIN