| Central Medical Clinic, P.a. | |
|
1190 N State St Suite 201 Jackson MS 39202-2413 | |
| (601) 352-7011 | |
| (601) 352-3173 |
| Full Name | Central Medical Clinic, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1190 N State St, Jackson, Mississippi |
| Authorized Official Name and Position | Gordon B Delashmet (PRESIDENT) |
| Authorized Official Contact | 6013527011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Medical Clinic, P.a. 1190 N State St Suite 201 Jackson MS 39202-2413 Ph: (601) 352-7011 | Central Medical Clinic, P.a. 1190 N State St Suite 201 Jackson MS 39202-2413 Ph: (601) 352-7011 |
| NPI Number | 1396806857 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 12/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396806857 | NPI | - | NPPES |
| 04200767 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Mississippi) | Primary |
Ben W. Seale, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 | |
Central Mississippi Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 Highway 80 W Ste 71, Jackson, MS 39209 Phone: 601-321-2400 | |
Hni Medical Services Of Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000 | |
Medical Care Associates Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3855 Azalea Dr, Jackson, MS 39206 Phone: 601-366-9447 | |
The Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-2561 Fax: 601-376-2570 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Old Canton Rd, Jackson, MS 39211 Phone: 601-957-3333 | |
Vanessa L. Sandifer, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Drive, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 |