Organization
MEDICAL FOUNDATION, INC.
Active
Other names
Ochsner Health Center- Southeast
Organization subpart
No
Provider details
NPI number
Authorized official
DON LARKIN KENNEDY (REGIONAL CEO)
(601) 703-9614
Entity
Organization
Contact information
Practice address
2402A LONG CREEK RD, MERIDIAN, MS 39301-7594
(601) 490-9410
(855) 852-1209
Mailing address
DEPT 3020, PO BOX 1000, MEMPHIS, TN 38148
(601) 213-3010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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