Individual
PLATON J COLLIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
176 MEMORIAL DR, JESUP, GA 31545-0101
(912) 427-9378
(912) 427-9852
Mailing address
176 MEMORIAL DR, JESUP, GA 31545-0101
(912) 427-9378
(912) 427-9852
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
026487
GA
2080P0205X
Pediatric Endocrinology Physician
Primary
026487
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00289704A
—
GA
Enumeration date
07/21/2005
Last updated
01/21/2011
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