JACK W TIPTON

MEMPHIS, TN
NPI1487653424
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  71488)
Enumeration Date2005-07-20
Last Update Date2007-07-26
Business Address
Mr. JACK W TIPTON CRNA
50 N DUNLAP ST
MEMPHIS, TN 38103-2800
Phone number: 901-572-3060
Mailing Address
Mr. JACK W TIPTON CRNA
8010 STAGE HILLS BLVD
BARTLETT, TN 38133-4032
Phone number: 901-291-2427
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