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Organization

MISSISSIPPI BAPTIST MEDICAL CENTER, INC.

Active
Parent organization
BAPTIST MEMORIAL HEALTH CARE CORP.
Other names
MBMC - Neuro Hospitalists
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAPTIST MEMORIAL HEALTH CARE CORP.
Authorized official
GREGORY M DUCKETT (SR VP/ CLO)
(901) 227-5233
Entity
Organization

Contact information

Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1362
(601) 292-4592
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(601) 292-4592

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09014368
MS
Enumeration date
02/27/2007
Last updated
09/30/2020
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