# CENTRAL MEDICAL CLINIC, P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1396806857
- **Authorized official:** DR. GORDON B DELASHMET M.D. (PRESIDENT)
- **Authorized official phone:** (601) 352-7011

## Contact information

- **Practice address:** 1190 N STATE ST, SUITE 201, JACKSON, MS 39202-2413
- **Practice address phone:** (601) 352-7011
- **Practice address fax:** (601) 352-3173
- **Mailing address:** 1190 N STATE ST, SUITE 201, JACKSON, MS 39202-2413
- **Mailing address phone:** (601) 352-7011
- **Mailing address fax:** (601) 352-3173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | MS | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 12/14/2007