Magnolia Specialty Clinic
NPI #1104464395 in Corinth, Mississippi
Provider Information
- NPI Number
- 1104464395
- Entity Type
- Organization
- Organization Name
- Magnolia Specialty Clinic
- Primary Specialty
- Internal Medicine - Endocrinology, Diabetes & Metabolism
- Enumeration Date
- Dec 18, 2019
- Last Updated
- May 14, 2021
Practice Location
- Address
- 3704 HIGHWAY 72 W
- City
- Corinth
- State
- Mississippi
- ZIP Code
- 38834-8556
- Phone
- (662) 665-8041
Authorized Official
- Name
- MARC NAKAGAWA
- Title
- CFO
- Phone
- (662) 293-7660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Nurse Practitioner |
| Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism |
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