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1629163043
CHARLOTTE PEAVIE
JACKSON, MS
NPI
1629163043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R583529)
Enumeration Date
2006-10-03
Last Update Date
2017-06-26
Business Address
Mrs. CHARLOTTE PEAVIE CFNP
5879 MADISON EDWARD DR
JACKSON, MS 39206
Phone number: 601-984-5475
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Mailing Address
Mrs. CHARLOTTE PEAVIE CFNP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5475
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