Provider Demographics
NPI:1578674883
Name:PHILLIPPI, CATHERINE P (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:P
Last Name:PHILLIPPI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1107 HIGHLAND COLONY PKWY STE 219
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-6079
Mailing Address - Country:US
Mailing Address - Phone:601-707-3279
Mailing Address - Fax:601-707-3598
Practice Address - Street 1:101 LEXINGTON DR STE A
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-6986
Practice Address - Country:US
Practice Address - Phone:601-707-3771
Practice Address - Fax:601-707-3751
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-04-15
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Provider Licenses
StateLicense IDTaxonomies
MS18651208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics