Individual
DR. TERESA JOYCE TRIPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
145 NORTHCREST BOULEVARD, MACON, GA 31210
(478) 743-4632
(478) 330-5064
Mailing address
145 NORTHCREST BOULEVARD, MACON, GA 31210
(478) 743-4632
(478) 330-5064
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23120
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000224518A
—
GA
05
—
00224518A
—
GA
01
—
1200047
UNITED HEALTH CARE
GA
01
—
12001
CIGNA
GA
01
—
345626
WELLCARE
GA
01
—
4412624
AETNA
GA
01
—
582347423
COVENTRY HEALTH CARE
GA
01
—
617897
BLUE CROSS BLUE SHIELD
GA
01
—
TRI001
SECURE HEALTH
GA
Enumeration date
03/15/2007
Last updated
03/28/2011
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