Organization
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC
Active
Other names
Baptist Cardiology Clinic
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
401 BAPTIST DR, SUITE 304, MADISON, MS 39110-2009
(601) 605-3531
(601) 605-3532
Mailing address
401 BAPTIST DR, SUITE 304, MADISON, MS 39110-2009
(601) 605-3531
(601) 605-3532
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MS
Enumeration date
07/26/2007
Last updated
07/26/2007
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