SHIBU PHILIP

FAYETTEVILLE, GA
NPI1356430607
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine Cardiovascular Disease
(Licence: GA  98806)
Additional Taxonomies207RC0000X Internal Medicine Cardiovascular Disease
(Licence: VA  0101279895)
207RC0000X Internal Medicine Cardiovascular Disease
(Licence: NC  2012-02030)
Enumeration Date2006-10-12
Last Update Date2024-05-16
Business Address
SHIBU PHILIP MD
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214-2110
Phone number: 770-716-0051
Mailing Address
SHIBU PHILIP MD
PO BOX 751803
CHARLOTTE, NC 28275-1803
Phone number: 336-277-2000