# MEDICAL FOUNDATION OF CENTRAL MS, INC

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

## Provider details

- **NPI number:** 1144659178
- **Authorized official:** ELIZABETH MULLINS (PRESIDENT MBHS CLINICS)
- **Authorized official phone:** (601) 292-4261

## Contact information

- **Practice address:** 1887 SPILLWAY RD., BRANDON, MS 39047
- **Practice address phone:** (601) 992-5532
- **Practice address fax:** (601) 992-5547
- **Mailing address:** 1887 SPILLWAY RD., BRANDON, MS 39047
- **Mailing address phone:** (601) 992-5532
- **Mailing address fax:** (601) 992-5547

## Taxonomy

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

## Other

- **Enumeration date:** 11/12/2013
- **Last updated:** 11/12/2013