| NPI | 1255001590 |
|---|---|
| Doing Business As | JACKSON-HINDS MEDICAL MOBILE UNIT 5 |
| Entity Type | Organization |
| Authorized Contact | JASMIN O CHAPMAN CEO 601-362-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |