Healthcare Provider Details

I. General information

NPI: 1891732012
Provider Name (Legal Business Name): JAMES A APPIAH-PIPPIM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 07/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 PRINCE AVE STE 201
ATHENS GA
30606-2762
US

IV. Provider business mailing address

PO BOX 161463
ATLANTA GA
30321-1463
US

V. Phone/Fax

Practice location:
  • Phone: 706-475-7055
  • Fax: 706-548-7153
Mailing address:
  • Phone: 706-369-5440
  • Fax: 706-369-5490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number072438
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number072438
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: