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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JIM ALFRED DELOACH

Active Sole Proprietor

JIM ALFRED DELOACH is a Peer Specialist healthcare provider located in GAUTIER, Mississippi. NPI 1205554656 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · GAUTIER, MS

Registration Details

NPI Number
1205554656
Provider Type
Individual
Gender
Male
NPI Issued
Aug 19, 2022 (3.9453751676091 yrs)
Last Updated
Aug 19, 2022
Sole Proprietor
Yes

Practice Information

Address
330B HIGHWAY 90
GAUTIER, MS, 395535744
Browse MS providers · Browse ZIP 39553
Phone
2284970434
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in GAUTIER, MS

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.