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Organization
CENTRAL JACKSON FAMILY MEDICAL CLINIC
Active
Organization
CENTRAL JACKSON FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASSANDRA FAYE THOMAS M.D. (PHYSICAIN)
(601) 981-7198
Entity
Organization
Contact information
Practice address
514 C WOODROW WILSON, JACKSON, MS 39216
(601) 981-7198
(601) 981-6616
Mailing address
P.O. BOX 4610, JACKSON, MS 39296-4610
(601) 981-7198
(601) 981-6616
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
13653
MS
261QM2500X
Medical Specialty Clinic/Center
18905
MS
Other
Enumeration date
04/20/2007
Last updated
12/09/2010
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