Provider Demographics
NPI:1659844595
Name:FLIPPO, BARRY T (PA-C)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:T
Last Name:FLIPPO
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6254 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-4713
Mailing Address - Country:US
Mailing Address - Phone:901-624-3333
Mailing Address - Fax:901-624-1203
Practice Address - Street 1:7585 CLARINGTON CV
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-5656
Practice Address - Country:US
Practice Address - Phone:662-349-0200
Practice Address - Fax:662-349-1666
Is Sole Proprietor?:No
Enumeration Date:2019-01-03
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant