Organization
BAPTIST MEDICAL CLINIC - CONVENIENT CARE
Active
Parent organization
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
Authorized official
MS. TERRI E PARKER (MEDICAL CLINIC OFFICE COORDINATOR)
(601) 292-4261
Entity
Organization
Contact information
Practice address
5341 LAKELAND DR, FLOWOOD, MS 39232-6173
(601) 919-2173
(601) 919-9723
Mailing address
1151 N STATE ST, SUITE 504, JACKSON, MS 39202-2407
(601) 292-4261
(601) 292-4262
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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