Organization
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH H MULLINS (PRESIDENT)
(601) 292-4261
Entity
Organization
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 292-4591
(601) 974-6241
Mailing address
1225 N STATE STREET, HOSPITALISTS PROGRAM 6TH FLOOR, JACKSON, MS 39202-2407
(601) 292-4591
(601) 974-6241
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09152270
—
MS
Enumeration date
01/24/2008
Last updated
04/25/2014
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