CENTRAL JACKSON MEDICAL CLINIC, INC

JACKSON, MS
NPI1285967943
Entity TypeOrganization
Authorized ContactIPHOGENIER BARRY
President
601-981-7198
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R733308)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MS  R718637)
Enumeration Date2009-09-14
Last Update Date2009-09-14
Business Address
CENTRAL JACKSON MEDICAL CLINIC, INC
514 C E WOODROW WILSON
JACKSON, MS 39216-4538
Phone number: 601-981-7198
Mailing Address
CENTRAL JACKSON MEDICAL CLINIC, INC
514 C E WOODROW WILSON
JACKSON, MS 39216-4538
Phone number: 601-981-7198