Organization
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC
Active
Other names
Baptist Medical Clinic - Northtown
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
6250 OLD CANTON RD STE 100, JACKSON, MS 39211-2946
(601) 957-1015
(601) 956-9721
Mailing address
1151 N STATE ST STE 408, JACKSON, MS 39202-2464
(601) 292-4261
(601) 292-4262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08588008
—
MS
Enumeration date
04/09/2007
Last updated
08/22/2020
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