Individual
TYLER LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2000
Mailing address
816 OSHIELDS CT, AUGUSTA, GA 30907-1541
(770) 298-4607
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13810
GA
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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