Individual
TYRONE PIPKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 KENDRICK TERRACE SW, ATLANTA, GA 30331
(404) 984-1182
Mailing address
415 KENDRICK TER SW, ATLANTA, GA 30331-9109
(404) 984-1182
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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