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Search › Mississippi › 208600000X

Charles Clericuzio

NPI 1558380238 · on the registry since 2006

Practice

Address
1500 E. Woodrow Wilson Drive
Jackson, MS 39216
Phone
(601) 362-4471
Organisation at this address
Department Of Veterans Affairs
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-10

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 Mississippi