Shane Tipton
Adult Reconstructive Orthopaedic Surgeon
1455 Montreal Rd
Tucker
, Georgia 30084-8100
Shane Tipton
Adult Reconstructive Orthopaedic Surgeon
1455 Montreal Rd
Tucker
, Georgia 30084-8100
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Shane Tipton
- 1455 Montreal Rd
- Tucker, GA
- Zip : 30084-8100
- Phone :
Second Address
- Shane Tipton
- 1455 Montreal Rd
- Tucker, GA
- Zip : 30084-8100
- Fax : (404) 778-8192
- Phone : (404) 778-6970
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 88413 | GA |
National Provider Identifier
| NPI | 1073977948 |
|---|---|
| Provider Name | Shane Tipton |
| First Address | Tucker, GA 30084-8100 |
| Second Address | Tucker, GA 30084-8100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/04/2016 |
| Last Update Date | 08/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.