Central Jackson Family Medical
Restricted
Central Jackson Family Medical is subject to Restricted. See the individual lists below.
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Address
514 Woodrow Wilson AveSte CJackson, MS 39216
ID Details
ID NUMBER : 1154549707
ID TYPE : NPI
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Central Jackson Family Medical Sanctioned By Below Authority
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| The Mississippi Division of Medicaid | Jan 10, 2011 | active |
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