# MEDICAL FOUNDATION OF CENTRAL MS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baptist Pediatric-General Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568709574
- **Authorized official:** MRS. ELIZABETH MULLINS (PRESIDENT BAPTIST MEDICAL CLINICS)
- **Authorized official phone:** (601) 292-4261

## Contact information

- **Practice address:** 501 MARSHALL ST, SUITE 500, JACKSON, MS 39202-1651
- **Practice address phone:** (601) 948-1411
- **Practice address fax:** (601) 944-9780
- **Mailing address:** 501 MARSHALL ST, SUITE 500, JACKSON, MS 39202-1651
- **Mailing address phone:** (601) 948-1411
- **Mailing address fax:** (601) 944-9780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | — | NULL | Yes |
| 2086S0120X | Pediatric Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2013
- **Last updated:** 01/10/2013