DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KIMBERLY PAIGE PETERSON SLP

MEDICARE: KIMBERLY PAIGE PETERSON SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistS4267MS

General Provider Information

NPI Number : 1538678263
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY PAIGE PETERSON SLP
Provider Business Mailing Address
First Line : 711 AVIGNON DR
Second Line :
City : RIDGELAND
State : MS
Zip : 39157-5120
Country : US
Telephone Number : 601-605-6777
Fax Number :
Provider Business Practice Location Address
First Line : 78 HOSPITAL RD
Second Line :
City : MACON
State : MS
Zip : 39341-2490
Country : US
Telephone Number : 662-726-4231
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2017
Last Update Date : 09/26/2017

Similar Medicare Providers

1770594368 — PHILIP S. LEE MD
Practice Location Address:
78 HOSPITAL RD
MACON, MS
39341-2490
Practice Phone: 662-726-4264
Practice Fax:
1790872018 — NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Practice Location Address:
78 HOSPITAL RD
MACON, MS
39341-2490
Practice Phone: 662-726-4264
Practice Fax: 662-726-4204
1265866453 — MRS. AMBER EAVES ROGERS PHARM. D
Practice Location Address:
78 HOSPITAL RD
MACON, MS
39341-2490
Practice Phone: 662-726-4231
Practice Fax: 662-726-9006
1356742894 — DORTHY RENEE BESTER FNP
Practice Location Address:
78 HOSPITAL RD
MACON, MS
39341-2490
Practice Phone: 662-726-4264
Practice Fax: 662-726-4204
1053819649 — TRAVEUS RAMON GARTH
Practice Location Address:
78 HOSPITAL RD
MACON, MS
39341-2490
Practice Phone: 662-726-4231
Practice Fax:
1427558329 — MRS. AMANDA NICHOLAS JONES CFNP-BC
Practice Location Address:
78 HOSPITAL RD
MACON, MS
39341-2490
Practice Phone: 662-738-4424
Practice Fax:

Directions to “ KIMBERLY PAIGE PETERSON SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.