| Medical Foundation Of Central Mississippi, Inc | |
|
106 Clinton Parkway Clinton MS 39056 | |
| (601) 924-9005 | |
| (601) 925-9463 |
| Full Name | Medical Foundation Of Central Mississippi, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 106 Clinton Parkway, Clinton, Mississippi |
| Authorized Official Name and Position | Elizabeth H Mullins (DIRECTOR OF CLINIC ADMINISTRATION) |
| Authorized Official Contact | 6012924261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Foundation Of Central Mississippi, Inc 1151 N State St Ste 408 Jackson MS 39202-2464 Ph: (601) 292-4261 | Medical Foundation Of Central Mississippi, Inc 106 Clinton Parkway Clinton MS 39056 Ph: (601) 924-9005 |
| NPI Number | 1124241245 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124241245 | NPI | - | NPPES |
| 09014808 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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