Greenville Ear Nose & Throat

NPI #1932169273 in Greenville, South Carolina

Provider Information

NPI Number
1932169273
Entity Type
Organization
Organization Name
Greenville Ear Nose & Throat
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Mar 23, 2006
Last Updated
Dec 4, 2007

Practice Location

Address
200 PATEWOOD DR
Address 2
BUILDING B SUITE B400
ZIP Code
29615-3593
Phone
(864) 454-4368

Authorized Official

Name
DR. JOHN GORDON PHILLIPS, M.D.
Title
DR. JOHN GORDON PHILLIPS
Phone
(864) 454-4368

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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