Healthcare Provider Details

I. General information

NPI: 1932409083
Provider Name (Legal Business Name): BARBRETTE A. CLAYBORN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2010
Last Update Date: 08/11/2022
Certification Date: 08/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 MEDICAL CENTER CIR
WEST POINT MS
39773
US

IV. Provider business mailing address

373 MEDICAL CENTER CIR
WEST POINT MS
39773-0432
US

V. Phone/Fax

Practice location:
  • Phone: 662-494-9466
  • Fax: 662-494-9900
Mailing address:
  • Phone: 662-494-9466
  • Fax: 662-494-9900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberTRN13680
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: