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1912088790
CAPITAL CITY CHILDREN AND ADOLESCENT CLINIC
JACKSON, MS
NPI
1912088790
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Entity Type
Organization
Authorized Contact
GERALDINE CHANEY
Owner
601-362-7476
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-10-18
Last Update Date
2020-08-22
Business Address
CAPITAL CITY CHILDREN AND ADOLESCENT CLINIC
2679 CRANE RIDGE DR STE F
JACKSON, MS 39216-4997
Phone number: 601-362-7476
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Mailing Address
CAPITAL CITY CHILDREN AND ADOLESCENT CLINIC
2679 CRANE RIDGE DR STE F
JACKSON, MS 39216-4997
Phone number: 601-362-7476
Copy
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