Organization
MEDICAL FOUNDATION OF CENTRAL MS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MULLINS (PRESIDENT BAPTIST MEDICAL CLINIC)
(601) 292-4261
Entity
Organization
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1000
(601) 944-9780
Mailing address
1151 N STATE ST, SUITE 504, JACKSON, MS 39202-2407
(601) 292-4261
(601) 292-4262
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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