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Jimmie Charlie, M.D
NPI 1366523722 · on the registry since 2006
Practice
- Address
- 85 West Highway 22
Santo Domingo, NM 87502 - Phone
- (505) 465-3060
- Fax
- (505) 465-3060
- Organisation at this address
- Kewa Pueblo Health Corporation
Kewa Pueblo Health Corporation
Kewa Pueblo Health Corporation
Kewa Pueblo Health Corporation
Kewa Pueblo Health CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico