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

Peter Hamilton Liddell

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639922065

Peter Hamilton Liddell is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2024.

Licensed in
MS
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence T-5510 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MS)

Record details

NPI number1639922065
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2024
Last updated in NPPESJuly 5, 2024
Certification dateJuly 5, 2024
Mailing address1405 Roxbury Pl, Jackson, MS 39211-6345

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