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Individual
DR. CHARLES SPENCER BIBBS
Active
Individual
DR. CHARLES SPENCER BIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101240477
VA
207P00000X
Emergency Medicine Physician
2014-02031
NC
207P00000X
Emergency Medicine Physician
43474
MN
207Q00000X
Family Medicine Physician
Primary
0101240477
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080170027
MEDICARE RAILROAD
MN
05
—
1568447688
—
VA
05
—
3810019395
—
WV
05
—
782647800
—
MN
Enumeration date
12/13/2005
Last updated
08/07/2024
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