| Doctor Name: | MR. BOBBY EUGNE TIPTON |
| NPI Number: | 1649237512 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ANP-BC, CPNP-PC |
| License Number: | 5005055 |
| Business Practice Address: | 86 Greenville Street Saluda Medical Center Saluda, NC - 287738732 |
| Business Phone Number: | 8287494411 |
| Business Fax Number: | 8287495660 |
| Mailing Address: | 121 Newkirk Way, TRAVELERS REST |
| State: | SC |
| Postal Code: | 296908344 |
| Phone Number: | 8648343099 |
| Fax Number: | 8648342882 |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 11/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 5005055 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |