Organization
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC
Active
Other names
Baptist Occupational Medical Clinic - Gluckstadt
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH H MULLINS (DIRECTOR OF CLINIC ADMINISTRATION)
(601) 292-4261
Entity
Organization
Contact information
Practice address
118 WEISENBERGER RD, MADISON, MS 39110-5012
(601) 607-7940
(601) 607-7941
Mailing address
1151 N STATE ST STE 408, JACKSON, MS 39202-2464
(601) 292-4261
(601) 292-4262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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