Individual
DR. HAROLD LEE PELTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425B N DAVIS AVE, CLEVELAND, MS 38732-2351
(662) 545-4600
(662) 545-4588
Mailing address
PO BOX 1269, CLEVELAND, MS 38732-1269
(662) 545-4600
(662) 545-4588
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01049615A
IN
207W00000X
Ophthalmology Physician
Primary
20927
MS
207W00000X
Ophthalmology Physician
35-07-6780-P
OH
207W00000X
Ophthalmology Physician
MD-071663-L
PA
Other
Enumeration date
11/14/2006
Last updated
11/03/2019
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