| Doctor Name: | MR. CHRISTOPHER JOSEPH TIPTON |
| NPI Number: | 1750363685 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PAC |
| License Number: | 969 |
| Business Practice Address: | 650 E Mcdonald Ave Man, WV - 256351012 |
| Business Phone Number: | 3045838585 |
| Business Fax Number: | 3045830129 |
| Mailing Address: | 7400 Lynn Ave, HAMLIN |
| State: | WV |
| Postal Code: | 255231138 |
| Phone Number: | 3048245806 |
| Fax Number: | 3048245885 |
| NPI Enumeration Date: | 11/16/2005 |
| NPI Last Update Date: | 07/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 969 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |