Foundation Internal Medicine, P.c.
NPI #1255531885 in Southaven, Mississippi
Provider Information
- NPI Number
- 1255531885
- Entity Type
- Organization
- Organization Name
- Foundation Internal Medicine, P.c.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 22, 2007
- Last Updated
- Jul 22, 2007
Practice Location
- Address
- 401 SOUTHCREST CIR
- Address 2
- SUITE 207
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-6726
- Phone
- (662) 349-9292
Authorized Official
- Name
- DR. KENNETH OSITA EDMUNDS, MD
- Title
- MEDICAL DIRECTOR/PRESIDENT
- Phone
- (662) 349-9292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
| Clinic/Center - Primary Care — Primary Care |
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