Organization
G A CARMICHAEL FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKITA RANSBURG (FINANCE DIRECTOR)
(601) 859-5213
Entity
Organization
Contact information
Practice address
116 N HAYDEN ST, BELZONI, MS 39038-3932
(601) 859-5213
(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
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016048
—
MS
Enumeration date
08/18/2008
Last updated
04/22/2014
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