Individual
MRS. ANGA-LEE MORGAN TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4000 VILLAGE VIEW DRIVE, GAINESVILLE, GA 30506
(678) 450-3000
(678) 450-1527
Mailing address
4000 VILLAGE VIEW DRIVE, GAINESVILLE, GA 30506
(678) 450-3000
(678) 450-1527
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
102211
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000791579C
—
GA
05
—
000791579D
—
GA
05
—
000791579E
—
GA
01
—
01305770
AMERIGROUP
GA
01
—
532605
WELLCARE
GA
01
—
676383
WELLCARE
GA
Enumeration date
12/02/2005
Last updated
05/30/2019
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