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Individual

CAROL J TIBBALS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
7611 FOREST AVE, SUITE 200, RICHMOND, VA 23229-4946
(804) 288-4048
(804) 288-3567
Mailing address
7130 GLEN FOREST DR, SUITE 101, RICHMOND, VA 23226-3754
(804) 662-6060
(804) 282-8678

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0024000056
VA

Other

Enumeration date
11/20/2007
Last updated
06/10/2011
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