Organization
MID JACKSON FAMILY HEALTH CLINIC
Active
Organization
MID JACKSON FAMILY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA O AREGHAN PHD,CFNP (PRESIDENT)
(601) 981-7198
Entity
Organization
Contact information
Practice address
514C WOODROW WILSON DR, JACKSON, MS 39216
(601) 981-7198
Mailing address
514C EAST WOODROW WILSON AVE, C, JACKSON, MS 39216
(601) 981-7198
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R831972
MS
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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