Provider Demographics
NPI:1427699180
Name:PHILLIPS, ZOIE BRIANNE (PA-C)
Entity type:Individual
Prefix:
First Name:ZOIE
Middle Name:BRIANNE
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 OLD MACCUMBER STATION RD
Mailing Address - Street 2:APT 325
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-8531
Mailing Address - Country:US
Mailing Address - Phone:910-292-9123
Mailing Address - Fax:
Practice Address - Street 1:527 OLD MACCUMBER STATION RD APT 325
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-8531
Practice Address - Country:US
Practice Address - Phone:910-292-9123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-03
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant