Healthtrust Magnolia, LLC
NPI #1144733361 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1144733361
- Entity Type
- Organization
- Organization Name
- Healthtrust Magnolia, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 9, 2017
- Last Updated
- Nov 9, 2017
Practice Location
- Address
- 203 S 40TH AVE STE B
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39402-1604
- Phone
- (601) 606-6366
Authorized Official
- Name
- SHELLEY H GENDUSA
- Title
- MANAGING MEMBER
- Phone
- (601) 606-6366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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