Phillip N. Golomb, MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8601 Issued in AL

Legal business name

PHILLIP N. GOLOMB, MD PA

Practice address

19 Milner Street
Fort Deposit, AL 36032

Phone

(334) 227-7778

NPI assigned

Oct 29, 2007

Last updated

Oct 29, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Phillip Nathan Golomb, M. D.

Title

President

Phone

(334) 227-7778

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1770762643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392",
            "city": "FORT DEPOSIT",
            "state": "AL",
            "postal_code": "360320392",
            "telephone_number": "334-227-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MILNER STREET",
            "city": "FORT DEPOSIT",
            "state": "AL",
            "postal_code": "36032",
            "telephone_number": "334-227-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP N. GOLOMB, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "GOLOMB",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-227-7778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "8601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert Lamar Barber Jr., RN, BSN
• Evergreen Dental Center (Fort Deposit Dental Center)
• Fort Deposit Drug Pharmacy LLC
• Latarshe Hare
• Kimberly Nacole Jordan
• Tri County Medical Center, Inc (Yearwood Medical Clinic)

• Family Medicine Physician in Fort Deposit, AL
• Providers in Fort Deposit, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.