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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013667450

Dr. Phillip Michael Peterman, MD is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1013667450
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022
Mailing address3030 Dunvale Rd Apt 12305, Houston, TX 77063-4539

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