Organization
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION
Active
Other names
Copiah Comprehensive Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASMIN R. CHAPMAN DDS (CEO)
(601) 362-5321
Entity
Organization
Contact information
Practice address
550 CALDWELL DRIVE, HAZLEHURST, MS 39083
(601) 894-1448
(601) 894-2903
Mailing address
3502 W. NORTHSIDE DRIVE, JACKSON, MS 39213
(601) 362-5321
(601) 364-5159
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016170
—
MS
Enumeration date
07/07/2006
Last updated
05/12/2009
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