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Individual

JOHN NATHAN TRIPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
OLD BETHEL CHURCH RD, CHESTER, GA 31012
(478) 358-7315
(478) 358-7309
Mailing address
4801 WESLEYAN WOODS DR, MACON, GA 31210-4116
(478) 474-9550
(478) 474-9550

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15519
GA

Other

Enumeration date
05/30/2007
Last updated
07/08/2007
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