Organization
BAPTIST HEART
Active
Organization
BAPTIST HEART
Active
Other names
Medical Foundation of Central MS Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MULLINS (PRESIDENT OF BAPTIST MEDICAL CLINIC)
(601) 292-4261
Entity
Organization
Contact information
Practice address
501 MARSHALL ST, SUITE 104, JACKSON, MS 39202-1651
(601) 969-6404
(601) 944-9780
Mailing address
501 MARSHALL ST, SUITE 104, JACKSON, MS 39202-1651
(601) 969-6404
(601) 944-9780
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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