Individual
DUANE DICKIE TIPPETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
731 LEIGHTON AVE, SUITE 300, ANNISTON, AL 36207-5761
(256) 236-4121
(256) 237-5254
Mailing address
731 LEIGHTON AVE STE 300, ANNISTON, AL 36207-5762
(256) 236-4121
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
00014829
AL
207X00000X
Orthopaedic Surgery Physician
Primary
MD.14829
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000088100
—
AL
01
—
051088100
BLUE SHIELD
AL
Enumeration date
10/18/2005
Last updated
04/28/2023
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