Individual
DR. SAM SALIBA DABIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 296-2090
(601) 296-2089
Mailing address
5035 MEADOW OAKS PARK DR, JACKSON, MS 39211-4816
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T-3100
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00255594
—
MS
01
—
26847
MEDICAL LICENSE
MS
Enumeration date
04/26/2016
Last updated
10/09/2019
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