Individual
JEFFREY BLAKE LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
(423) 979-4341
Mailing address
PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
(423) 979-3001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101048693
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101048693
VA
Other
Enumeration date
07/21/2006
Last updated
05/12/2025
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