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

MR. JAMES JERRY PETERSON III, BA.

Active Sole Proprietor

MR. JAMES JERRY PETERSON III, BA. is a Community/Behavioral Health healthcare provider located in RALEIGH, North Carolina. NPI 1265958748 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · RALEIGH, NC

Registration Details

NPI Number
1265958748
Provider Type
Individual
Gender
Male
NPI Issued
Aug 16, 2017 (8.9530876318877 yrs)
Last Updated
Sep 18, 2023
Sole Proprietor
Yes

Practice Information

Address
2138 BLACKWOLF RUN LN
RALEIGH, NC, 276045411
Browse NC providers · Browse ZIP 27604
Phone
9166275859
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in RALEIGH, NC

Name Credential NPI
MRS. JESSICA L KELLY BA SLP/A, MS, ITFS 1609057439
MR. CARLOS GARCIA-SAMUELS 1366751042
MS. CHARRISSE PERRY 1568764439
COLEEN ARCARI 1801170550
MRS. ASHLEY ELIZABETH COTTER B.A. 1871933747
MS. GISELA SMITH LCSWA 1295165124
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.