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Organization

CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.

Active
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Organization

CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.

Active
Other names
Jackson-Hinds Comprehensive Health Center - Physical Therapy, Gary Road Elementary
Organization subpart
No

Provider details

NPI number
Authorized official
JASMIN CHAPMAN DDS (CHIEF EXECUTIVE OFFICER)
(601) 364-5142
Entity
Organization

Contact information

Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Mailing address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
MS
Enumeration date
06/13/2017
Last updated
12/22/2017
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