# EXPRESS CARE MEDICAL CLINIC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1760349575
- **Authorized official:** EDRICK HIBBLER (SOLE MEMBER)
- **Authorized official phone:** (601) 408-0719

## Contact information

- **Practice address:** 105 N FRONT ST, RICHTON, MS 39476-2204
- **Practice address phone:** (601) 788-2599
- **Mailing address:** 105 N FRONT ST, RICHTON, MS 39476-2204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0700X | Adult Development & Aging Psychologist | — | NULL | — |
| 103TA0700X | Adult Development & Aging Psychologist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2026
- **Last updated:** 01/06/2026