Individual
DR. CHARLES SPENCER BIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-3200
Mailing address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-3200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101240477
VA
207P00000X
Emergency Medicine Physician
2014-02031
NC
207P00000X
Emergency Medicine Physician
43474
MN
207Q00000X
Family Medicine Physician
Primary
0101240477
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080170027
MEDICARE RAILROAD
MN
05
—
1568447688
—
VA
05
—
3810019395
—
WV
05
—
782647800
—
MN
Enumeration date
12/13/2005
Last updated
08/07/2024
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