Provider Demographics
NPI:1720492242
Name:PHILLIPS, CHRISTOPHER JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:PHILLIPS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3324 W UNIVERSITY AVE # 366
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2540
Mailing Address - Country:US
Mailing Address - Phone:214-941-9200
Mailing Address - Fax:409-772-2663
Practice Address - Street 1:1201 7TH STREET SE,
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601
Practice Address - Country:US
Practice Address - Phone:214-941-9200
Practice Address - Fax:409-772-2663
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR3734207Q00000X
TXBP10050704207Q00000X
ALMD.36828207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine