FOUNDATION INTERNAL MEDICINE, P.C.
Ambulatory Health at Southcrest Cir, Southaven, MS

License number
Mississippi 14060
Category
Ambulatory Health
Type
Medical Specialty
License number
Mississippi 14060
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. KENNETH OSITA EDMUNDS MD
Title: MEDICAL DIRECTOR/PRESIDENT
Phone: (662) 349-9292
Address
Address
401 Southcrest Cir SUITE 207, Southaven, MS 38671
National Provider ID: 1255531885
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Foundation Internal Medicine, PC

401 Southcrest Cir STE 207, Southaven, MS 38671

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Oct 2, 2000
Phone:
(662) 349-9292 (Phone), (662) 349-8607 (Fax)
Office Administrators:
Kenneth O. Edmunds (President),Tamra Bumpous (Lpn),Ngozi E. Edmunds Office Manager, inactive,...

Ambulatory Health licenses in Mississippi







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