Jim Alfred Deloach
NPI #1205554656 in Gautier, Mississippi
Provider Information
- NPI Number
- 1205554656
- Entity Type
- Individual
- Name
- Jim Alfred Deloach
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Aug 19, 2022
- Last Updated
- Aug 19, 2022
Practice Location
- Address
- 330B HIGHWAY 90
- City
- Gautier
- State
- Mississippi
- ZIP Code
- 39553-5744
- Phone
- (228) 497-0434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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