Individual
JAMES MATTHEW LYPE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2335 LAKESIDE DR, MONROE, GA 30655-4003
(770) 658-7455
Mailing address
2335 LAKESIDE DR, MONROE, GA 30655-4003
(770) 658-7455
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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