| Bibb Family Medicine, Pllc | |
|
100 Business Park Dr Suite A Ridgeland MS 39157-6015 | |
| (601) 259-0083 | |
| Not Available |
| Full Name | Bibb Family Medicine, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 100 Business Park Dr, Ridgeland, Mississippi |
| Authorized Official Name and Position | Kimberly Bibb (PHYSICIAN) |
| Authorized Official Contact | 6012590083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bibb Family Medicine, Pllc Po Box 41 Tougaloo MS 39174-0041 Ph: () - | Bibb Family Medicine, Pllc 100 Business Park Dr Suite A Ridgeland MS 39157-6015 Ph: (601) 259-0083 |
| NPI Number | 1245584747 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 11/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245584747 | NPI | - | NPPES |
| 05306238 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 19334 (Mississippi) | Primary |
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