Organization
BIBB FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BIBB M.D. (PHYSICIAN)
(601) 259-0083
Entity
Organization
Contact information
Practice address
100 BUSINESS PARK DR, SUITE A, RIDGELAND, MS 39157-6015
(601) 259-0083
Mailing address
PO BOX 41, TOUGALOO, MS 39174-0041
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
19334
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05306238
—
MS
Enumeration date
11/06/2012
Last updated
11/06/2012
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