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
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 SpecialtyMedical Specialty
Clinic/Center - Primary CarePrimary Care

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