Individual
MR. RICHARD C SIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3231 GLYNN AVE, BRUNSWICK, GA 31520-4851
(912) 265-9006
(912) 554-3636
Mailing address
3231 GLYNN AVE, BRUNSWICK, GA 31520-4851
(912) 265-9006
(912) 554-3636
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357432493A
—
GA
01
—
GRP3915
MEDICARE GROUP NUMBER
GA
Enumeration date
03/24/2009
Last updated
07/17/2009
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