Magnolia Family Medical Clinic
NPI #1023228632 in Greenville, Mississippi
Provider Information
- NPI Number
- 1023228632
- Entity Type
- Organization
- Organization Name
- Magnolia Family Medical Clinic
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 23, 2007
- Last Updated
- Dec 31, 2007
Practice Location
- Address
- 1660 S COLORADO ST
- City
- Greenville
- State
- Mississippi
- ZIP Code
- 38703-7216
- Phone
- (662) 332-2077
Authorized Official
- Name
- JOHN B KAYOMA, MD
- Title
- OWNER
- Phone
- (662) 332-2077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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