# CASSANDRA F THOMAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Jackson Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710280557
- **Authorized official:** CASSANDRA FAYE THOMAS M.D. (OWNER)
- **Authorized official phone:** (601) 981-7198

## Contact information

- **Practice address:** 514C E WOODROW WILSON AVE, JACKSON, MS 39216-4538
- **Practice address phone:** (601) 981-7198
- **Practice address fax:** (601) 981-6616
- **Mailing address:** 514C E WOODROW WILSON AVE, JACKSON, MS 39216-4538
- **Mailing address phone:** (601) 981-7198
- **Mailing address fax:** (601) 981-6616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 13653 | MS | Yes |

## Other

- **Enumeration date:** 12/17/2010
- **Last updated:** 12/17/2010