# MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC

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

## Provider details

- **NPI number:** 1952557092
- **Authorized official:** ELIZABETH MULLINS (DIRECTOR OF CLINIC ADMINISTRATION)
- **Authorized official phone:** (601) 292-4261

## Contact information

- **Practice address:** 501 MARSHALL ST STE 100, JACKSON, MS 39202-1687
- **Practice address phone:** (601) 948-1416
- **Practice address fax:** (601) 353-9417
- **Mailing address:** 501 MARSHALL ST STE 100, JACKSON, MS 39202-1687
- **Mailing address phone:** (601) 948-1416
- **Mailing address fax:** (601) 353-9417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2008
- **Last updated:** 08/08/2008