Individual
MR. MICHAEL DWAYNE HIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2485 TINY TOWN RD, CLARKSVILLE, TN 37042-7219
(931) 502-2423
(931) 502-2370
Mailing address
2485 TINY TOWN RD, CLARKSVILLE, TN 37042-7219
(931) 502-2423
(931) 502-2370
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3322152
FL
Other
Enumeration date
10/22/2007
Last updated
09/08/2021
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