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Individual

DR. TIMOTHY K TIPPETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2465 WRIGHTSBORO RD, AUGUSTA, GA 30904-6244
(706) 738-1102
(706) 738-1149
Mailing address
2465 WRIGHTSBORO RD, AUGUSTA, GA 30904-6244
(706) 738-1102
(706) 738-1149

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA1296-T
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00618549A
GA
Enumeration date
08/17/2005
Last updated
10/21/2025
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