Organization
GENERATIONAL HEALTH OF MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EEMAN TARIQ (OWNER)
(713) 338-9901
Entity
Organization
Contact information
Practice address
4780 I 55 N, JACKSON, MS 39211-5542
(713) 338-9901
Mailing address
4780 I 55 N, JACKSON, MS 39211-5542
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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