DR. PHILIP NATHAN NORDSTROM MD
NPI 1700627080
Student in an Organized Health Care Education/Training Program in Fort Eisenhower, GA

Active since June 03, 2024
300 EAST HOSPITAL ROAD, FORT EISENHOWER, GA 30905(706) 787-9358 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Philip Nathan Nordstrom Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILIP NATHAN NORDSTROM MD (NPI 1700627080) is an individual student in an organized health care education/training program in Fort Eisenhower, Georgia and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1700627080
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PHILIP NATHAN NORDSTROMCredential: MD
Location Address300 EAST HOSPITAL ROADFort Eisenhower, GA 30905-5650
Mailing Address634 Burgamy PassGrovetown, GA 30813-5855 · (803) 622-3090
Sole ProprietorYes
Enumeration DateJune 3, 2024
NPPES CertifiedMay 28, 2024
NPI 1700627080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 EAST HOSPITAL ROAD, Fort Eisenhower, GA 30905

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT EISENHOWER, GA 30905
Psychologist (Clinical)
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Family Medicine
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Internal Medicine
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Nordstrom's NPI number?

The NPI number for Philip Nordstrom is 1700627080. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Philip Nordstrom located?

Philip Nordstrom practices at 300 East Hospital Road, Fort Eisenhower, GA 30905. The listed phone number is (706) 787-9358.

What is Philip Nordstrom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Philip Nordstrom was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.