Clinic For Women Of Central Ms
Specialist in Jackson, MS. Organization (NPI-2).
NPI number1548213887
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1548213887
- Entity type
- Organization (NPI-2)
- Legal business name
- Clinic For Women Of Central Ms
- Organization subpart
- No
- Enumeration date
- May 18, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 09597 | MS | Yes |
Practice location
1820 Hospital DrJackson, MS 39204-3410
Phone 601-372-1541 · Fax 601-373-5141
Mailing address
1820 Hospital DrJackson, MS 39204-3410
Phone 601-372-1541 · Fax 601-373-5141
Authorized official
Alice Fay Mabry
Office Manager
6013721541
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