Medical Foundation of Central Mississippi, Inc

Organization Active NPI Cardiovascular Disease Physician · Jackson, MS

NPI 1508020397 · NPPES record last updated Sep 8, 2008

Key facts

NPI
1508020397
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
Legal business name
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC
Practice address
501 Marshall St
Suite 101
Jackson, MS 39202-1651
Phone
(601) 969-5105
Fax
(601) 969-5106
NPI assigned
Jul 11, 2008
Organization subpart
No

Authorized official

Name
Elizabeth H Mullins
Title
Director of Clinic Administration
Phone
(601) 292-4261

Corporate family (same tax ID) 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

National Provider Directory

Tax ID family
Baptist PT - Northtown (42 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0000X Yes

Addresses

Primary practice location

501 Marshall St
Suite 101
Jackson, MS 39202-1651

Mailing address

501 Marshall St
Suite 101
Jackson, MS 39202-1651
Phone (601) 969-5105

Other names

  • Baptist Cardiology Clinic - Jackson Doing business as

Other providers in Jackson, MS

All providers in Jackson, MS · Cardiovascular Disease Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.