Individual
DR. ANDREW W PIPPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1831 5TH AVE, COLUMBUS, GA 31904
(706) 320-8780
(706) 660-2583
Mailing address
1831 5TH AVE, COLUMBUS, GA 31904
(706) 320-8780
(706) 660-2583
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
053506
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009937965
—
AL
01
—
009957965
CAID
AL
05
—
246604314A
—
GA
01
—
252002
BCBS
GA
01
—
305012
WELLCARE
GA
01
—
582578648
EVERGREEN
—
01
—
58257864831901B001
TRICARE WPS
—
01
—
5825786483901-B001
WPS-TRICARE
—
01
—
60035437
BCBS
AL
01
—
7814546
AETNA
—
01
—
P00109714
RR MEDICARE
—
Enumeration date
11/16/2006
Last updated
01/23/2013
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