Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 007131 | GA |
N | 207VX0000X | Obstetrician | ME150340 | FL |
NPI | 1003233578 |
---|---|
Provider Name | Bradley Harmon Sipe |
First Address | Atlanta, GA 30303-3033 |
Second Address | Atlanta, GA 30303-3033 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2014 |
Last Update Date | 04/08/2021 |