NPI 1043503832

Mid Jackson Family Health Clinic

Organisation Primary Care Clinic/Center Jackson, MS

Practice location

Address: 514c Woodrow Wilson Dr, Jackson, MS 39216
Phone: (601) 981-7198
Mailing address: 514c East Woodrow Wilson Ave C, Jackson, MS 39216

Authorised official

Name: Gloria O Areghan
Title: President
Phone: (601) 981-7198

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence R831972 (MS)

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1043503832
Entity type: Organization
NPI issued: 26 May 2011
Record last updated: 26 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.