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1891922498
KIPP SLICKER
ROME, GA
NPI
1891922498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: GA 075675)
Enumeration Date
2009-06-22
Last Update Date
2023-08-30
Business Address
KIPP SLICKER DO
7 JOHN MADDOX DR NW
ROME, GA 30165-1413
Phone number: 706-368-8500
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Mailing Address
KIPP SLICKER DO
PO BOX 12938 C/O CLINIC MANAGEMENT
CALHOUN, GA 30703
Phone number: 706-602-7800
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