Organization
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
Active
Parent organization
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
Other names
Baptist Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
Authorized official
MRS. ELIZABETH MULLINS (DIRECTOR CLINIC OPERATIONS)
(601) 292-4261
Entity
Organization
Contact information
Practice address
329 HIGHWAY 12 WEST, KOSCUISKO, MS 39090
(601) 292-4261
(601) 292-4262
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
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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