Organization
THE MARY TIPTON FOUNDATION
Active
Parent organization
THE MARY TIPTON FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MARY TIPTON FOUNDATION
Authorized official
MISS KEELY R FOSTER LPC (BOARD MEMBER)
(678) 302-1945
Entity
Organization
Contact information
Practice address
3103 CLAIRMONT RD NE, SUITE B, ATLANTA, GA 30329-1043
(678) 302-1950
(404) 601-1386
Mailing address
3103 CLAIRMONT RD NE, SUITE B, ATLANTA, GA 30329-1043
(678) 302-1950
(404) 601-1386
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
07/07/2014
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