# MEDICAL FOUNDATION OF CENTRAL MS INC

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

## Provider details

- **NPI number:** 1295283687
- **Authorized official:** AMY GRISSETT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (601) 944-1717

## Contact information

- **Practice address:** 1200 N STATE ST, SUITE LL-10, JACKSON, MS 39202-2000
- **Practice address phone:** (601) 714-6411
- **Practice address fax:** (601) 714-6421
- **Mailing address:** 1200 N STATE ST, SUITE LL-10, JACKSON, MS 39202-2000
- **Mailing address phone:** (601) 714-6411
- **Mailing address fax:** (601) 714-6421

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2016
- **Last updated:** 09/15/2016