Individual
MRS. CHARLOTTE HALKIADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4250 BETHEL RD, OLIVE BRANCH, MS 38654-8737
(901) 516-1290
(901) 516-1220
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
18744
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
901830
MS
Other
Enumeration date
10/15/2014
Last updated
06/02/2025
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