Everett C Mckibben in Starkville - General Practice

Everett C Mckibben - NPI 1093873713

Everett C Mckibben is a General Practice in Starkville, Mississippi. Everett C Mckibben practices all healthcare services and medical treatments related to General Practice. The NPI Number for Everett C Mckibben is 1093873713. The last update date is 2010-06-22.

Everett C Mckibben's current location address is The Laird Clinic, Starkville, Mississippi. You can contact this provider via phone number 6623232515 and fax number 6623232557. The mailing address for Everett C Mckibben is The Laird Clinic, Starkville, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Everett C Mckibben
Address The Laird Clinic, Starkville, Mississippi
Phone Number 6623232515
Fax Number 6623232557
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1093873713
Provider Enumeration Date 2006-12-05
Last Updated Date 2010-06-22

Provider Mailing Address Detail

Address The Laird Clinic
City Starkville
State Mississippi (MS)
Post Code 39759
Phone Number 6623232515
Fax Number 6623232557

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 12519
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110394 MS --

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FAQs about Everett C Mckibben

What is the Everett C Mckibben's 1093873713?

The Everett C Mckibben's NPI (National Provider Identifier) Number is 1093873713. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Everett C Mckibben is physically located?

The Everett C Mckibben is physically situated at the following address: The Laird Clinic, Starkville, MS, 39759.

What is the Everett C Mckibben's area of specialization and corresponding taxonomy classification?

The Everett C Mckibben's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.

On what date did Everett C Mckibben receive its 1093873713 assignment from the Centers for Medicare & Medicaid Services?

The Everett C Mckibben was assigned its 1093873713 on 2006-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Everett C Mckibben's details last updated?

The information pertaining to the Everett C Mckibben, including its address, specialty, and other details, was most recently updated on 2010-06-22.

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