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Organization

MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC

Active
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Organization

MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC

Active
Other names
Baptist Occupational Medical Clinic - MAE
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH H MULLINS (DIRECTOR OF CLINIC ADMINISTRATION)
(601) 292-4261
Entity
Organization

Contact information

Practice address
1513 LAKELAND DR, SUITE 200, JACKSON, MS 39216-4829
(601) 968-1377
(601) 292-4262
Mailing address
1513 LAKELAND DR, SUITE 200, JACKSON, MS 39216-4829
(601) 968-1377
(601) 292-4262

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
04/12/2007
Last updated
05/30/2013
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