Central Mississippi Civic Improvement Association, INC
NPI #1760420335 in Hazlehurst, Mississippi
Provider Information
- NPI Number
- 1760420335
- Entity Type
- Organization
- Organization Name
- Central Mississippi Civic Improvement Association, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 3, 2006
- Last Updated
- Oct 29, 2010
Practice Location
- Address
- 550 CALDWELL DR
- City
- Hazlehurst
- State
- Mississippi
- ZIP Code
- 39083-2304
- Phone
- (601) 894-1448
Authorized Official
- Name
- DR. JASMIN R CHAPMAN, DDS
- Title
- CEO
- Phone
- (601) 362-5321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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