Provider Demographics
NPI:1275592255
Name:CRIBE, HABIGAILE (MD)
Entity Type:Individual
Prefix:DR
First Name:HABIGAILE
Middle Name:
Last Name:CRIBE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WINSLOW COURT
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-1623
Mailing Address - Country:US
Mailing Address - Phone:478-374-5582
Mailing Address - Fax:478-374-3756
Practice Address - Street 1:911 PLAZA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:EASTMAN
Practice Address - State:GA
Practice Address - Zip Code:31023-2184
Practice Address - Country:US
Practice Address - Phone:478-374-5582
Practice Address - Fax:478-374-3756
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA050874207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA4662950161IMedicaid
GA466295016HMedicaid
GA11BDWPWMedicare Oscar/Certification
H78536Medicare UPIN