Collipp, Platon J

Collipp, Platon J is an sole proprietor health care provider with primary practice located at 176 Memorial Dr , Jesup GA 31545-0101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Collipp, Platon J can be contacted via phone (912) 427-9378.

Contact Information

Primary practice address
176 Memorial Dr Jesup GA 31545-0101
Phone: (912) 427-9378
Fax: (912) 427-9852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 026487 Georgia
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 026487 Georgia

Profile Details

NPI number 1609875590
LBN Legal business name Collipp, Platon J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Jan 21st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609875590 NPPES
Georgia MEDICAID 00289704A

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