Individual
DANIEL B COLLIPP
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
176 MEMORIAL DR, JESUP, GA 31545-0101
(912) 427-9378
(912) 427-9852
Mailing address
176 MEMORIAL DR, JESUP, GA 31545-0101
(912) 427-9378
(912) 427-9852
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
055740
GA
Other
Enumeration date
07/21/2005
Last updated
07/09/2007
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