Organization
MEDICAL FOUNDATION OF CENTRAL MS INC
Active
Other names
BAPTIST PT-YAZOO
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GRISSETT (BILLING MANAGER)
(601) 944-1717
Entity
Organization
Contact information
Practice address
746 E FIFTEENTH ST, YAZOO CITY, MS 39194-2706
(662) 746-4032
(662) 746-0967
Mailing address
746 E FIFTEENTH ST, YAZOO CITY, MS 39194-2706
(662) 746-4032
(662) 746-0967
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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