Organization
THE MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
Active
Other names
Baptist Medical Clinic - Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI PARKER (CLINIC COORDINATOR)
(601) 825-9000
Entity
Organization
Contact information
Practice address
3011 GREENFIELD RD, PEARL, MS 39208-8712
(601) 825-9000
(601) 825-2513
Mailing address
3011 GREENFIELD RD, PEARL, MS 39208-8712
(601) 825-9000
(601) 825-2513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07634271
—
MS
Enumeration date
12/19/2006
Last updated
07/08/2011
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