# TIPTON FAMILY PRACTICE ASSOCIATES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467634584
- **Authorized official:** DR. JERRY R POWELL II MD (PRESIDENT)
- **Authorized official phone:** (765) 675-8733

## Contact information

- **Practice address:** 239 ASH ST, TIPTON, IN 46072-1752
- **Practice address phone:** (765) 675-8733
- **Practice address fax:** (765) 675-7121
- **Mailing address:** 239 ASH ST, TIPTON, IN 46072-1752
- **Mailing address phone:** (765) 675-8733
- **Mailing address fax:** (765) 675-7121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01053633 | IN | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 01053633 | IN | Yes |

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 08/27/2008