Organization
MEDICAL FOUNDATION OF CENTRAL MS
Active
Other names
Baptist Main Street Madison
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MULLINS (PRESIDENT - BMC)
(601) 292-4261
Entity
Organization
Contact information
Practice address
2173 MAIN ST, MADISON, MS 39110-6309
(601) 944-1717
(601) 944-9780
Mailing address
2173 MAIN ST, MADISON, MS 39110-6309
(601) 944-1717
(601) 944-9780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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