Central Mississippi Civic Improvement Association, Inc.
NPI #1659789360 in Terry, Mississippi
Provider Information
- NPI Number
- 1659789360
- Entity Type
- Organization
- Organization Name
- Central Mississippi Civic Improvement Association, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 25, 2014
- Last Updated
- Jul 25, 2014
Practice Location
- Address
- 2009 BYRAM BULLDOG BLVD
- City
- Terry
- State
- Mississippi
- ZIP Code
- 39170-8632
- 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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