Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 29028 | GA |
NPI | 1144271065 |
---|---|
Provider Name | Dr. Cathy Lipton |
First Address | Atlanta, GA 30327 |
Second Address | Norcross, GA 30092 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E91368 | (02) |