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NPI Profile for MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI in KOSCIUSKO, MS.
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine |
| NPI # | 1891022547 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/17/2009 | |
| Last updated | 11/17/2009 - About 17 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
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MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI