Individual
COURTNEY ELIZABETH HIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
388 BEN BOLT AVE, TAZEWELL, VA 24651-5386
(276) 988-8740
(276) 988-5941
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5705
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101281738
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/25/2021
Last updated
05/10/2024
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