# MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baptist Occupational Medical Clinic - Airport
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134242647
- **Authorized official:** ELIZABETH H MULLINS (DIRECTOR OF CLINIC ADMINISTRATION)
- **Authorized official phone:** (601) 292-4261

## Contact information

- **Practice address:** 309 AIRPORT RD S STE B, PEARL, MS 39208-6678
- **Practice address phone:** (601) 939-1960
- **Practice address fax:** (601) 939-1780
- **Mailing address:** 1151 N STATE ST STE 408, JACKSON, MS 39202-2464
- **Mailing address phone:** (601) 939-1960
- **Mailing address fax:** (601) 939-1780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 08/22/2020