Organization
SOUTHEASTERN INDEPENDENT PSYCHIATRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS K LAIPPLE M.D. (OWNER)
(706) 235-2475
Entity
Organization
Contact information
Practice address
17 ONEILL ST SW, ROME, GA 30161-6023
(706) 235-2475
(706) 235-2472
Mailing address
17 ONEILL ST SW, ROME, GA 30161-6023
(706) 235-2475
(706) 235-2472
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
021410
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434028712A
—
GA
Enumeration date
03/19/2009
Last updated
03/19/2009
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