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Organization
EXPRESS CARE MEDICAL CLINIC LLC
Active
Organization
EXPRESS CARE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDRICK HIBBLER (SOLE MEMBER)
(601) 408-0719
Entity
Organization
Contact information
Practice address
105 N FRONT ST, RICHTON, MS 39476-2204
(601) 788-2599
Mailing address
105 N FRONT ST, RICHTON, MS 39476-2204
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
NULL
103TA0700X
Adult Development & Aging Psychologist
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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