# PRIMARY CARE CLINIC OF RIPLEY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356312623
- **Authorized official:** TROY REUBEN CAPPLEMAN MD (AO)
- **Authorized official phone:** (662) 539-7444

## Contact information

- **Practice address:** 460 W BANKHEAD ST, NEW ALBANY, MS 38652-3319
- **Practice address phone:** (662) 539-7444
- **Practice address fax:** (662) 837-3760
- **Mailing address:** 460 W BANKHEAD ST, NEW ALBANY, MS 38652-3319
- **Mailing address phone:** (662) 539-7444
- **Mailing address fax:** (662) 837-3760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |

## Other

- **Enumeration date:** 01/27/2006
- **Last updated:** 08/12/2024