Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JIMMIE R CHARLIE, M.D.
ActiveDR. JIMMIE R CHARLIE, M.D. is a Family Medicine healthcare provider located in SANTO DOMINGO, New Mexico. NPI 1366523722 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SANTO DOMINGO, NM
Registration Details
- NPI Number
- 1366523722
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2006 (19.819586317178 yrs)
- Last Updated
- Sep 2, 2016
- License
-
20020019 (NM)
Practice Information
- Address
-
85 WEST HIGHWAY 22SANTO DOMINGO, NM, 875020340Browse NM providers · Browse ZIP 87502
- Phone
- 5054653060
- Fax
- 5054653060
- Primary Specialty
-
Family Medicine
207Q00000X
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.