Individual
HOLLY PEEPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
878 LAKELAND DR, JACKSON, MS 39216-4644
(601) 984-6800
(601) 984-6812
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-4778
(601) 984-5420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10782
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115127
—
MS
01
—
080105905
RAILROAD
MS
01
—
P00462301
RAILROAD MEDICARE
MS
Enumeration date
09/27/2006
Last updated
09/17/2018
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