| G A Carmichael Family Health Center | |
|
116 N Hayden St Belzoni MS 39038-3932 | |
| (601) 859-5213 | |
| (601) 859-8771 |
| Full Name | G A Carmichael Family Health Center |
|---|---|
| Speciality | Dentist |
| Location | 116 N Hayden St, Belzoni, Mississippi |
| Authorized Official Name and Position | Nikita Ransburg (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 116 N Hayden St Belzoni MS 39038-3932 Ph: (601) 859-5213 |
| NPI Number | 1588810865 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 04/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588810865 | NPI | - | NPPES |
| 09016048 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Daniel B. Story Ii, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E First St, Belzoni, MS 39038 Phone: 662-247-3478 |