Everett C Mckibben MD

NPI 1093873713 - General Practice - 208D00000X

NPI Details
NPI 1093873713
Gender Male
Enumeration Date 12/05/2006
Last Updated 06/22/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
THE LAIRD CLINIC
103 DOCTORS PARK
STARKVILLE MS, 39759, US
Phone (662) 323-2515
Fax (662) 323-2557
Business Location
THE LAIRD CLINIC
103 DOCTORS PARK
STARKVILLE MS, 39759, US
Phone (662) 323-2515
Fax (662) 323-2557
Toxanomy
Taxonomy Code 208D00000X
License State Mississippi
License Number 12519
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According to our database, Everett C Mckibben MD NPI is 1093873713, taxonomy code is 208D00000X and license number is 12519, license state is located at Mississippi. Everett C Mckibben MD physically located at The Laird Clinic, Starkville MS, 39759. NPI Number Everett C Mckibben MD has the Individual type.

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1093873713 NPI number is provided on an as is basis without warranty of any kind. 1093873713 is maintained by the National Plan & Provider Enumeration System. The contents of Everett C Mckibben MD are for informational purposes only.