# MEDICAL FOUNDATION OF CENTRAL MS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baptist Main Street Madison
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306191754
- **Authorized official:** ELIZABETH MULLINS (PRESIDENT - BMC)
- **Authorized official phone:** (601) 292-4261

## Contact information

- **Practice address:** 2173 MAIN ST, MADISON, MS 39110-6309
- **Practice address phone:** (601) 944-1717
- **Practice address fax:** (601) 944-9780
- **Mailing address:** 2173 MAIN ST, MADISON, MS 39110-6309
- **Mailing address phone:** (601) 944-1717
- **Mailing address fax:** (601) 944-9780

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2012
- **Last updated:** 07/20/2012