Individual
DR. GARY H. LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 PRIMACY PKWY, MEMPHIS, TN 38119-0213
(901) 866-8812
Mailing address
66 N PAULINE ST, SUITE 206, MEMPHIS, TN 38105-5105
(901) 448-7642
(901) 448-8015
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
14222
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116300
—
MS
05
—
003181954A
—
GA
05
—
115516001
—
AR
05
—
1881651685
—
AL
05
—
1881651685
—
MO
05
—
3006841
—
TN
05
—
Q008592
—
TN
Enumeration date
04/27/2006
Last updated
10/08/2018
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