institution
Imani Family Medical Clinic, Llc
Primary Care Clinic/Center in Jackson, Mississippi
NPI 1851757785

Imani Family Medical Clinic, Llc is a Primary Care Clinic/Center based in Jackson, MS and is specialized in Primary Care. Imani Family Medical Clinic, Llc practices in Jackson, MS. The NPI Number for Imani Family Medical Clinic, Llc is 1851757785 and holds a License No. R803867 (Mississippi).

The current practice location address for Imani Family Medical Clinic, Llc is 4510 Hanging Moss Rd, Jackson, MS and can be reached out via phone at 769-257-5713 and via fax at 769-257-5715.

Location: 4510 Hanging Moss Rd, Jackson, MS, 39206-3962
institution
Provider Profile Details
NPI Number
1851757785
Provider Name
Imani Family Medical Clinic, Llc
Credential
Provider Entity Type
Organization
Address
4510 Hanging Moss Rd, Jackson, MS, 39206-3962
Phone Number
769-257-5713
Fax Number
769-257-5715
Provider Enumeration Date
01/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00117713 05 MS
501534 01 MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
4510 Hanging Moss Rd
City
State
Zip
39206-3962
Phone Number
769-257-5713
Fax Number
769-257-5715
person
Provider Business Mailing Address Details
Address
4510 Hanging Moss Rd
City
State
Zip
39206-3962
Phone Number
769-257-5713
Fax Number
769-257-5715
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
R803867 (Mississippi)
Definition
Definition to come...
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