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NPI Code Detail

MEDICARE: DR. BRADFORD CRAIG LIPMAN MD

MEDICARE:  DR. BRADFORD CRAIG LIPMAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician028596GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740285956
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADFORD CRAIG LIPMAN MD
Provider Business Mailing Address
First Line : 1605 ROBERTA DR SW
Second Line :
City : MARIETTA
State : GA
Zip : 30008-3855
Country : US
Telephone Number : 770-419-3120
Fax Number :
Provider Business Practice Location Address
First Line : 1605 ROBERTA DR SW
Second Line :
City : MARIETTA
State : GA
Zip : 30008-3855
Country : US
Telephone Number : 770-419-3120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 07/21/2021

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Directions to “ DR. BRADFORD CRAIG LIPMAN MD” Practice Location

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