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Organization

FAMILY HEALTH CENTER, INC

Active
Other names
Sandersville Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RASHAD N. ALI MD, JD, FACOG (EXECUTIVE DIRECTOR)
(601) 425-3033
Entity
Organization

Contact information

Practice address
203 BROAD STREET, SANDERSVILLE, MS 39477-0279
(601) 428-9918
(601) 649-5575
Mailing address
P.O. BOX 4361, LAUREL, MS 39441-4361
(601) 425-3033
(601) 422-0431

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09015884
MS
05
9015884
MS
Enumeration date
11/14/2007
Last updated
11/16/2010
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