Central Medical Clinic, P.a.

NPI #1396806857 in Jackson, Mississippi

Provider Information

NPI Number: 1396806857
Entity Type: Organization
Organization Name: Central Medical Clinic, P.a.
Primary Specialty: Internal Medicine
Enumeration Date: Dec 12, 2006
Last Updated: Dec 14, 2007

Practice Location

Address: 1190 N STATE ST
Address 2: SUITE 201
City: Jackson
State: Mississippi
ZIP Code: 39202-2413
Phone: (601) 352-7011

Authorized Official

Name: DR. GORDON B DELASHMET, M.D.
Title: PRESIDENT
Phone: (601) 352-7011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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