Organization
G A CARMICHAEL FAMILY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L. COLEMAN JR. ED.D (CEO)
(601) 859-5213
Entity
Organization
Contact information
Practice address
1301 E FIRST ST, BELZONI, MS 39038
(622) 247-1252
(601) 859-8771
Mailing address
PO BOX 588, CANTON, MS 39046-0588
(601) 859-5213
(601) 859-8771
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013114
—
MS
Enumeration date
12/30/2006
Last updated
10/31/2023
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