# MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackson Neurosurgery & Spine Assoc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841413432
- **Authorized official:** ELIZABETH H MULLINS (DIRECTOR OF CLINIC ADMINISTRATION)
- **Authorized official phone:** (601) 292-4261

## Contact information

- **Practice address:** 1200 N STATE ST, SUITE 440, JACKSON, MS 39202-2001
- **Practice address phone:** (601) 969-5230
- **Practice address fax:** (601) 969-5233
- **Mailing address:** 1200 N STATE ST, SUITE 440, JACKSON, MS 39202-2001
- **Mailing address phone:** (601) 969-5230
- **Mailing address fax:** (601) 969-5233

## Taxonomy

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

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 07/09/2013