CENTRAL JACKSON MEDICAL CLINIC, INC
Nursing at C, Jackson, MS

License number
Mississippi R733308
Category
Nursing
Type
Family
License number
Mississippi R718637
Category
Nursing
Type
Family
Owner
Name: MRS. IPHOGENIER BARRY
Title: PRESIDENT
Phone: (601) 981-7198
Address
Address
514 C St E WOODROW WILSON, Jackson, MS 39216
National Provider ID: 1285967943
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CENTRAL JACKSON MEDICAL CLINIC, INC at bizstanding.com

Central Jackson Medical Clinic, Inc

514C Woodrow Wilson, Jackson, MS 39216

Status:
Inactive
State ID:
953679
Presidents:
Iphogeniar Barry (Incorporator), 10308 Ambergate Ln, Frisco, TX 75035,Boris Thomas (Incorporator), 1055 Hanndale Ln, Jackson, MS 39212,Iphogenier Barry (President), 10308 Ambergate Ln, Frisco, TX 75035
Agent:
Barry, Iphogeniar,PO Box 4610, Jackson, MS 39296 (Physical)

Nursing licenses in Mississippi










Other Doctors licenses in Mississippi