Provider Demographics
NPI:1538330410
Name:BIBB GROUP SERVICES INC.
Entity Type:Organization
Organization Name:BIBB GROUP SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:478-923-2667
Mailing Address - Street 1:1000 MARTHA STREET #F
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093-3104
Mailing Address - Country:US
Mailing Address - Phone:478-923-2667
Mailing Address - Fax:
Practice Address - Street 1:1000 MARTHA STREET #F
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-3104
Practice Address - Country:US
Practice Address - Phone:478-923-2667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center