Central Mississippi Civic Improvement Association, Inc.
NPI #1346684826 in Edwards, Mississippi
Provider Information
- NPI Number
- 1346684826
- Entity Type
- Organization
- Organization Name
- Central Mississippi Civic Improvement Association, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Apr 26, 2013
- Last Updated
- Oct 2, 2013
Practice Location
- Address
- 100 SOUTH MAGNOLIA STREET
- City
- Edwards
- State
- Mississippi
- ZIP Code
- 39066
- Phone
- (601) 362-5321
Authorized Official
- Name
- DR. JASMIN CHAPMAN, DDS
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (601) 362-5321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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