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BIBB FAMILY MEDICINE PLLC NPI 1245584747


NPI Information

NPI: 1245584747
Provider Name: BIBB FAMILY MEDICINE, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
100 BUSINESS PARK DR
SUITE A
RIDGELAND, MS
ZIP 39157
Phone: (601) 259-0083
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BIBB FAMILY MEDICINE, PLLC is a primary care clinic center in Ridgeland, MS. BIBB FAMILY MEDICINE, PLLC NPI is 1245584747. The provider is registered as an organization entity type.

The provider's business location address is:

100 BUSINESS PARK DR
SUITE A
RIDGELAND, MS
ZIP 39157-015
Phone: (601) 259-0083

The provider's authorized official is Kimberly Bibb .
The authorized official title is Physician and has the following contact phone number (601) 259-0083.

The enumeration date for this NPI number is 11/6/2012 and was last updated on 11/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care19334MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105306238MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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