Organization
PETERKIN AND ASSOCIATES OF MISSISSIPPI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE SMITH ED. D (CEO)
(910) 759-9472
Entity
Organization
Contact information
Practice address
5155 GALAXIE DRIVE, SUITE F, JACKSON, MS 39206
(601) 398-3455
(769) 251-5715
Mailing address
5155 GALAXIE DRIVE, SUITE F, JACKSON, MS 39206
(601) 398-3455
(769) 251-5715
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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