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Organization
MEDICAL FOUNDATION OF CENTRAL MS
Active
Organization
MEDICAL FOUNDATION OF CENTRAL MS
Active
Other names
Baptist Main Street Madison
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MULLINS (PRESIDENT - BMC)
(601) 292-4261
Entity
Organization
Contact information
Practice address
2173 MAIN ST, MADISON, MS 39110-6309
(601) 944-1717
(601) 944-9780
Mailing address
2173 MAIN ST, MADISON, MS 39110-6309
(601) 944-1717
(601) 944-9780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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