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Contact Information

ANCEL C TIPTON, MD
971 LAKELAND DR
STE 1060
JACKSON, MS39216-4609
 Phone: 601-362-1577
 Fax: 601-368-9394
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for ANCEL C TIPTON · (Male)

NPI # 1548366768
Status Active
Credentials MD
Entity Individual
Enumeration date 09/15/2006
Last updated 02/01/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 05163
  • MS Medicaid 12670
Hospital affiliation(s)
  • MISSISSIPPI METHODIST REHAB CTR - (Acute Care)
    1350 E WOODROW WILSON DR
    JACKSON, MS 39216
  • RIVER OAKS HOSPITAL - (Acute Care)
    1030 RIVER OAKS DRIVE
    FLOWOOD, MS 39232
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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