Individual
DAVID JOSEPH DIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
240 HOSPITAL DR NE, BOLIVIA, NC 28422-8346
(910) 721-1000
(910) 754-2032
Mailing address
PO BOX 3439, NORTH MYRTLE BEACH, SC 29582-0439
(843) 839-4447
(843) 399-0123
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2007-00648
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007-00648
MEDICAL LICENSE
NC
05
—
5907240
—
NC
05
—
Q0064L
—
SC
Enumeration date
02/03/2007
Last updated
09/09/2016
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