| NPI | 1306191754 |
|---|---|
| Doing Business As | BAPTIST MAIN STREET MADISON |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MULLINS President Bmc 601-292-4261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |