Organization
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC
Active
Other names
Jackson Neurosurgery & Spine Assoc
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
1200 N STATE ST, SUITE 440, JACKSON, MS 39202-2001
(601) 969-5230
(601) 969-5233
Mailing address
1200 N STATE ST, SUITE 440, JACKSON, MS 39202-2001
(601) 969-5230
(601) 969-5233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C02783
—
MS
Enumeration date
04/11/2007
Last updated
07/09/2013
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