OrganizationActive
Generational Health of Mississippi
NPI 1376429902 · Primary Care Clinic/Center · Jackson, MS
Provider details
- NPI number
- 1376429902
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Eeman Tariq, Owner
Mailing address
4780 I 55 N
Jackson, MS 39211-5542
Registry dates
- Enumerated
- 2025-08-11
- Last updated
- 2025-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.