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Organization

PRIMARY CARE CLINIC OF RIPLEY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TROY REUBEN CAPPLEMAN MD (AO)
(662) 539-7444
Entity
Organization

Contact information

Practice address
460 W BANKHEAD ST, NEW ALBANY, MS 38652-3319
(662) 539-7444
(662) 837-3760
Mailing address
460 W BANKHEAD ST, NEW ALBANY, MS 38652-3319
(662) 539-7444
(662) 837-3760

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207RE0101X
Endocrinology, Diabetes & Metabolism Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09015964
MS
Enumeration date
01/27/2006
Last updated
08/12/2024
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