Organization
TIBBS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CLINTON TIBBS III M.D. (OWNER)
(662) 843-8314
Entity
Organization
Contact information
Practice address
301A HOSPITAL DR, CLEVELAND, MS 38732-2358
(662) 843-8314
(662) 843-2644
Mailing address
ONE HOSPITAL DR, CLEVELAND, MS 38732
(662) 843-8314
(662) 843-2644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13568
MS
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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