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Individual

MR. ROBERT C TIBBS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
ONE HOSPITAL DRIVE, CLEVELAND, MS 38732
(662) 843-8314
(662) 843-2644
Mailing address
ONE HOSPITAL DRIVE, CLEVELAND, MS 38732
(662) 843-8314
(662) 843-2644

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13568
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00114939
MS
Enumeration date
07/09/2006
Last updated
07/09/2007
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