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Individual

DR. ANCEL C TIPTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
971 LAKELAND DR, STE 1060, JACKSON, MS 39216-4609
(601) 362-1577
(601) 368-9394
Mailing address
971 LAKELAND DR, SUITE 557, JACKSON, MS 39216-4643
(601) 362-1577
(601) 368-9394

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
05163
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12670
MS
Enumeration date
09/15/2006
Last updated
02/01/2017
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