G A Carmichael Family Health Center | |
1421 E Peace St Ste B Canton MS 39046-4938 | |
(601) 855-2516 | |
(601) 859-8771 |
Full Name | G A Carmichael Family Health Center |
---|---|
Speciality | Family Medicine |
Location | 1421 E Peace St Ste B, Canton, Mississippi |
Authorized Official Name and Position | Phyllis G Cotten (ASST FINANCE DIRECTOR) |
Authorized Official Contact | 6018595213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
G A Carmichael Family Health Center Po Box 588 Canton MS 39046-0588 Ph: (601) 859-5213 | G A Carmichael Family Health Center 1421 E Peace St Ste B Canton MS 39046-4938 Ph: (601) 855-2516 |
NPI Number | 1124185129 |
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Provider Enumeration Date | 01/02/2007 |
Last Update Date | 02/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124185129 | NPI | - | NPPES |
03971398 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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