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Lincoln Hammell Lippincott

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NPI Number Detailed Information

Provider Information:

Name: Lincoln Hammell Lippincott
Gender: M
Provider License Number If Given: 51059

NPI Information:

NPI: 1154320661
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 11/17/2015

Provider Business Mailing Address:

Address: 120 S ZETTEROWER AVE
Statesboro, GA 30458
Phone Number: 9126817368
Fax Number: 9126813687

Provider Business Practice Location Address:

Address: 120 S ZETTEROWER AVE
Statesboro, GA 30458
Phone Number: 9126817368
Fax Number: 9126813687

Provider Taxonomy:

Primary: 207Y00000X
Secondary (if any):
State: GA

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