| NPI | 1710280557 |
|---|---|
| Doing Business As | CENTRAL JACKSON FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CASSANDRA FAYE THOMAS Owner 601-981-7198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MS 13653) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |