# G A CARMICHAEL FAMILY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124185129
- **Authorized official:** MRS. PHYLLIS G COTTEN (ASST FINANCE DIRECTOR)
- **Authorized official phone:** (601) 859-5213

## Contact information

- **Practice address:** 1421 E PEACE ST STE B, CANTON, MS 39046-4938
- **Practice address phone:** (601) 855-2516
- **Practice address fax:** (601) 859-8771
- **Mailing address:** PO BOX 588, CANTON, MS 39046-0588
- **Mailing address phone:** (601) 859-5213
- **Mailing address fax:** (601) 859-8771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 02/08/2008