Organization
MEDICAL FOUNDATION OF CENTRAL MS INC
Active
Other names
BAPTIST PT-BELHAVEN
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GRISSETT (BILLING MANAGER)
(601) 944-1717
Entity
Organization
Contact information
Practice address
1200 N STATE ST, SUITE 210, JACKSON, MS 39202-2000
(601) 714-3202
(601) 714-3416
Mailing address
1200 N STATE ST, SUITE 210, JACKSON, MS 39202-2000
(601) 714-3202
(601) 714-3416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MS
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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