Organization
FAMILY HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RASHAD N. ALI M.D., J.D., FAGOG (EXECUTIVE DIRECTOR)
(601) 425-3033
Entity
Organization
Contact information
Practice address
117 SOUTH 11TH AVENUE, LAUREL, MS 39441-4361
(601) 425-3033
(601) 422-0431
Mailing address
P.O. BOX 4361, LAUREL, MS 39440
(601) 425-3033
(601) 422-0431
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09010072
—
MS
05
—
9010072
—
MS
Enumeration date
06/28/2005
Last updated
07/21/2022
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