Organization
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.
Active
Other names
Gary Road Elementary School
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASMIN CHAPMAN DDS (CHIEF EXECUTIVE OFFICER)
(601) 364-5142
Entity
Organization
Contact information
Practice address
7241 GARY RD, BYRAM, MS 39272-8947
(601) 892-4053
Mailing address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/11/2014
Last updated
12/22/2017
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