Individual
DR. KIRPICH JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
449 PLEASANT HILL RD NW STE 104, LILBURN, GA 30047-2770
(678) 475-1400
(678) 475-1030
Mailing address
449 PLEASANT HILL RD NW STE 104, LILBURN, GA 30047-2770
(678) 475-1400
(678) 475-1030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
054904
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710161038A
MEDICAID PAYEE ID
GA
05
—
792206505A
—
GA
Enumeration date
08/22/2005
Last updated
10/09/2012
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