Organization
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC
Active
Other names
Baptist Medical Clinic - Dogwood
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
151 E METRO DR #103, FLOWOOD, MS 39232
(601) 992-3288
(601) 992-3188
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014930
—
MS
Enumeration date
04/10/2007
Last updated
08/22/2020
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