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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 |