National Provider Identifier Database

MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
Cardiovascular Disease

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.


Contact Information

MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
329 HIGHWAY 12 WEST
KOSCIUSKO, MS39090
Phone: 601-292-4261
Fax: 601-292-4262
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI

NPI Number 1891022547
Legal business name
LBN
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
Authorized official ELIZABETH MULLINS - (DIRECTOR CLINIC OPERATIONS)
Entity Organization
Organization subpart Yes
Enumeration date 11/17/2009
Last updated 11/17/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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