Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles Paul Clericuzio

Individual provider Surgery Physician · NPI 1558380238

Dr. Charles Paul Clericuzio is a Surgery Physician in Jackson, Mississippi. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006

Practice location Address checks out

1500 E Woodrow Wilson Dr
Jackson, MS 39216-5116
Phone: (601) 362-4471
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence F2199 (TX)

Record details

NPI number1558380238
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESJuly 10, 2007

Other providers in Jackson