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Contact Information

MEDICAL FOUNDATION, INC.
1314 19TH AVE
MERIDIAN, MS39301-4116
 Phone: 601-703-4362
 Fax: 601-703-9321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MEDICAL FOUNDATION INC · (Female)

NPI # 1851422711
Status Active
Credentials
Entity Individual
Enumeration date 03/09/2007
Last updated 04/21/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL Medicaid 529909690
  • MS Medicaid 07631269
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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