Individual
WILLIAM E TIPPINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
410 DARLING AVE, DEPT OF ANESTHESIA, WAYCROSS, GA 31501-5246
(912) 338-6511
(912) 338-6512
Mailing address
410 DARLING AVE, DEPT OF ANESTHESIA, WAYCROSS, GA 31501-5246
(912) 338-6511
(912) 338-6512
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN115907
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
848439678A
—
GA
05
—
848439678C
—
GA
05
—
848439678D
—
GA
Enumeration date
03/07/2006
Last updated
04/27/2010
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