Phillip Matthew Ezell, FNP-BC, AGACNP-BC is an adult medicine family medicine in Petal, MS with 2 years of experience. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Phillip Matthew Ezell, FNP-BC, AGACNP-BC NPI is 1689453524. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2022
The provider's business location address is:
908 S GEORGE AVE
PETAL, MS
ZIP 39465-077
Phone: (601) 544-7441
The NPI 1689453524 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/28/2023 and was last updated on 9/28/2023.