WILLIAM BLAKE MCKIBBIN

FISHERSVILLE, VA
NPI1295739878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: VA  0101240500)
Additional Taxonomies208600000X Surgery
(Licence: GA  052784)
Enumeration Date2005-06-10
Last Update Date2020-02-13
Business Address
WILLIAM BLAKE MCKIBBIN M.D.
16 IVY RIDGE LN STE 130
FISHERSVILLE, VA 22939-2354
Phone number: 540-332-5909
Mailing Address
WILLIAM BLAKE MCKIBBIN M.D.
16 IVY RIDGE LN STE 130
FISHERSVILLE, VA 22939-2354
Phone number: 540-332-5909