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Foundation Internal Medicine, P.c.
Primary Care Clinic/Center in Southaven, Mississippi
NPI 1255531885

Foundation Internal Medicine, P.c. is a Primary Care Clinic/Center based in Southaven, MS and is specialized in Primary Care. Foundation Internal Medicine, P.c. practices in Southaven, MS. The NPI Number for Foundation Internal Medicine, P.c. is 1255531885 and holds a License No. 14060 (Mississippi).

The current practice location address for Foundation Internal Medicine, P.c. is 401 Southcrest Cir, Southaven, MS and can be reached out via phone at 662-349-9292 and via fax at 662-349-8603.

Location: 401 Southcrest Cir, Southaven, MS, 38671-6726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255531885
Provider Name
Foundation Internal Medicine, P.c.
Credential
Provider Entity Type
Organization
Address
401 Southcrest Cir, Southaven, MS, 38671-6726
Phone Number
662-349-9292
Fax Number
662-349-8603
Provider Enumeration Date
07/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09015617 05 MS
institution
Provider Business Practice Location Address Details
Address
401 Southcrest Cir
City
Southaven
State
Mississippi
Zip
38671-6726
Phone Number
662-349-9292
Fax Number
662-349-8603
person
Provider Business Mailing Address Details
Address
401 Southcrest Cir
City
Southaven
State
Mississippi
Zip
38671-6726
Phone Number
662-349-9292
Fax Number
662-349-8603
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
14060 (Mississippi)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
14060 (Mississippi)
Definition
Definition to come...
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