Most Relevant Information
Provider Data
| NPI Number: | 1003477795 |
| Provider Name: | ALEXIS PHILLIPS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/24/2019 |
| Last Updated: | 06/05/2020 |
Provider Practice Location
4111 SOUTHPOINT BLVD
COLUMBUS
OH
432074988
Practice Location Phone/Fax
| Phone: | 6144876720 |
| Fax: |
Provider Mailing Location
5766 HIBERNIA DR APT B
COLUMBUS
OH
432323502
Provider Mailing Phone/Fax
| Phone: | 9376832233 |
| Fax: |