Individual
JERRID PIPPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NORTHEAST GEORGIA MEDICAL CENTER, 743 SPRING STREET NE, GAINESVILLE, GA 30501
(770) 219-9000
Mailing address
4625 MURRAY LN, YOUNG HARRIS, GA 30582-3082
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
83778
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
04/27/2012
Last updated
06/24/2020
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