Provider Demographics
NPI:1194984906
Name:PHILLIPS, MARGARET E (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:E
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8980 LORRAINE RD
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39503
Mailing Address - Country:US
Mailing Address - Phone:228-231-9477
Mailing Address - Fax:228-900-0373
Practice Address - Street 1:10051 LORRAINE RD # A-2
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503-6001
Practice Address - Country:US
Practice Address - Phone:228-231-9477
Practice Address - Fax:228-900-0373
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS25237207WX0200X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS08904279Medicaid
TX323328001Medicaid
TX323328001Medicaid