Organization
CASSANDRA F THOMAS
Active
Other names
Central Jackson Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA FAYE THOMAS M.D. (OWNER)
(601) 981-7198
Entity
Organization
Contact information
Practice address
514C E WOODROW WILSON AVE, JACKSON, MS 39216-4538
(601) 981-7198
(601) 981-6616
Mailing address
514C E WOODROW WILSON AVE, JACKSON, MS 39216-4538
(601) 981-7198
(601) 981-6616
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
13653
MS
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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