Central Mississippi Civic Improvement Association, INC
NPI #1811425291 in Byram, Mississippi
Provider Information
- NPI Number
- 1811425291
- Entity Type
- Organization
- Organization Name
- Central Mississippi Civic Improvement Association, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- May 30, 2017
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 7255 GARY RD
- City
- Byram
- State
- Mississippi
- ZIP Code
- 39272-8947
- Phone
- (601) 894-8590
Authorized Official
- Name
- JASMIN CHAPMAN, DDS
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (601) 364-5142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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