Magnolia Woman's Clinic, P.a.
NPI #1144491580 in Jackson, Mississippi
Provider Information
- NPI Number
- 1144491580
- Entity Type
- Organization
- Organization Name
- Magnolia Woman's Clinic, P.a.
- Primary Specialty
- Obstetrics & Gynecology - Obstetrics
- Enumeration Date
- Mar 13, 2008
- Last Updated
- Mar 13, 2008
Practice Location
- Address
- 970 LAKELAND DR
- Address 2
- SUITE 43
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4635
- Phone
- (601) 200-8201
Authorized Official
- Name
- WALTER RAY WOLFE, M.D.
- Title
- OWNER/PRESIDENT
- Phone
- (601) 200-8201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Obstetrics — Obstetrics |
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