Individual
LADONNA SIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 CAPRICE CT APT 7, COLUMBUS, GA 31903-5828
(470) 825-5958
Mailing address
2 CAPRICE COURT, APARTMENT 7, COLUMBUS, GA 31903
(470) 825-5958
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
CN0030025176
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052235798
DRIVER LICENSE
GA
Enumeration date
01/17/2022
Last updated
01/17/2022
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