# MEDICAL FOUNDATION OF CENTRAL MS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baptist medical Clinic Family Medicine Richland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215478730
- **Authorized official:** AMY GRISSETT (BILLING MANAGER)
- **Authorized official phone:** (601) 944-1717

## Contact information

- **Practice address:** 1201 HIGHWAY 49 S, SUITE 1, RICHLAND, MS 39218-9425
- **Practice address phone:** (601) 973-1576
- **Practice address fax:** (601) 932-0056
- **Mailing address:** 1201 HIGHWAY 49 S, SUITE 1, RICHLAND, MS 39218-9425
- **Mailing address phone:** (601) 973-1576
- **Mailing address fax:** (601) 932-0056

## Taxonomy

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

## Other

- **Enumeration date:** 03/16/2017
- **Last updated:** 04/14/2017