Individual
DR. LONNIE K SIPSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11 CHARLIE MORRIS RD, COLBERT, GA 30628-2445
(706) 788-2127
(706) 788-2815
Mailing address
PO BOX 459, COLBERT, GA 30628-0459
(706) 788-3234
(706) 788-2936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55436
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WV6202B
MEDICARE PTAN
WV
01
—
WV6202C
MEDICARE PTAN
WV
Enumeration date
05/03/2006
Last updated
05/03/2022
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