OrganizationActive
Foundation Internal Medicine, P.C.
NPI 1255531885 · Primary Care Clinic/Center · Southaven, MS
Provider details
- NPI number
- 1255531885
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Edmunds, Medical Director/President(662) 349-9292
- License
- 14060 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
401 Southcrest Cir
Suite 207
Southaven, MS 38671-6726
Phone: (662) 349-9292
Fax: (662) 349-8603
Approximate (ZIP-level) locationGet directions
Mailing address
401 Southcrest Cir
Southaven, MS 38671-6726
Registry dates
- Enumerated
- 2007-07-22
- Last updated
- 2007-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.