Individual
KIPP SLICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
591 REDMOND RD NW STE 103, ROME, GA 30165-1415
(706) 368-8500
(706) 307-4613
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703
(706) 602-7800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
075675
GA
Other
Enumeration date
06/22/2009
Last updated
04/16/2026
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