# G A CARMICHAEL FAMILY HEALTH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** G A CARMICHAEL FAMILY HEALTH CENTER INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396363503
- **Legal business name:** G A CARMICHAEL FAMILY HEALTH CENTER INC
- **Authorized official:** JOSEPH DAVIS (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (601) 859-5213

## Contact information

- **Practice address:** 16463 US HIGHWAY 49, BELZONI, MS 39038-4292
- **Practice address phone:** (601) 859-5213
- **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:** 07/14/2020
- **Last updated:** 07/14/2020