Central Mississippi Civic Improvement Association
NPI #1790717080 in Jackson, Mississippi
Provider Information
- NPI Number
- 1790717080
- Entity Type
- Organization
- Organization Name
- Central Mississippi Civic Improvement Association
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 7, 2006
- Last Updated
- Apr 25, 2011
Practice Location
- Address
- 3502 W NORTHSIDE DR
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39213-4454
- Phone
- (601) 362-5321
Authorized Official
- Name
- DR. JASMIN CHAPMAN, DDS
- Title
- CEO
- Phone
- (601) 362-5321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
| Clinic/Center - Dental — Dental |
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