Magnolia Orthopaedics & Sports Medicine, P.a.
NPI #1063433233 in Corinth, Mississippi
Provider Information
- NPI Number
- 1063433233
- Entity Type
- Organization
- Organization Name
- Magnolia Orthopaedics & Sports Medicine, P.a.
- Primary Specialty
- Orthopaedic Surgery - Sports Medicine
- Enumeration Date
- Jul 22, 2006
- Last Updated
- Aug 15, 2013
Practice Location
- Address
- 611 ALCORN DR
- Address 2
- SUITE 100
- City
- Corinth
- State
- Mississippi
- ZIP Code
- 38834-9321
- Phone
- (662) 286-6369
Authorized Official
- Name
- CHARLIE GOOCH
- Title
- OFFICE MANAGER
- Phone
- (662) 286-6369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery - Sports Medicine — Sports Medicine |
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