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ALAN THOMAS KIPPENY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3672 MARATHON CIR, SUITE 200, AUSTELL, GA 30106-6821
(770) 944-3303
(770) 944-0285
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3627
GA
363AM0700X
Medical Physician Assistant
3627
GA

Other

Enumeration date
06/25/2006
Last updated
11/13/2014
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