MEDICARE: CLINIC FOR WOMEN OF CENTRAL MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	09597	MS

General Provider Information

NPI Number	:	1548213887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINIC FOR WOMEN OF CENTRAL MS

Provider Business Mailing Address
First Line	:	1820 HOSPITAL DR
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39204-3410
Country	:	US
Telephone Number	:	601-372-1541
Fax Number	:	601-373-5141

Provider Business Practice Location Address
First Line	:	1820 HOSPITAL DR
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39204-3410
Country	:	US
Telephone Number	:	601-372-1541
Fax Number	:	601-373-5141

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. ALICE FAY MABRY
Credential	:
Telephone Number	:	601-372-1541

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1215933346 — HEEERS, PA
Practice Location Address:

1814 HOSPITAL DR
JACKSON, MS
39204-3410

Practice Phone: 601-373-2940
Practice Fax: 601-373-2720

1518989003 — HINDS CARDIOLOGY CLINIC PA
Practice Location Address:

1832 HOSPITAL DRIVE
JACKSON, MS
39204-3410

Practice Phone: 601-372-2777
Practice Fax: 601-914-0904

1770695520 — BIO-MEDICAL APPLICATIONS OF MISSISSIPPI, INC.
Practice Location Address:

1856 HOSPITAL DR
JACKSON, MS
39204-3410

Practice Phone: 601-371-2896
Practice Fax: 601-372-8232

1881759702 — DR. DANA LANELL GRANT M.D.
Practice Location Address:

1824 HOSPITAL DR
JACKSON, MS
39204-3410

Practice Phone: 601-346-4586
Practice Fax: 601-346-4587

1407989619 — DANA LORRAINE-JONES CARBO BRYANT M. D.
Practice Location Address:

1824 HOSPITAL DR
JACKSON, MS
39204-3410

Practice Phone: 601-346-4586
Practice Fax: 601-346-4587

1912104159 — DR. HURSIE J DAVIS-SULLIVAN M.D.
Practice Location Address:

1814 HOSPITAL DR
JACKSON, MS
39204-3410

Practice Phone: 601-373-2940
Practice Fax: 601-373-2720

Directions to “CLINIC FOR WOMEN OF CENTRAL MS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.