Magnolia Internal Medicine Clinic

NPI #1316106255 in Corinth, Mississippi

Provider Information

NPI Number
1316106255
Entity Type
Organization
Organization Name
Magnolia Internal Medicine Clinic
Subpart
Yes (part of a larger organization)
Parent Organization
MAGNOLIA REGIONAL HEALTH CENTER
Primary Specialty
Internal Medicine
Enumeration Date
Jun 5, 2008
Last Updated
Jun 5, 2008

Practice Location

Address
703 ALCORN DR
Address 2
SUITE 102
ZIP Code
38834-9302
Phone
(662) 293-1000

Authorized Official

Name
DONALD R LLOYD
Title
CPO
Phone
(662) 287-6913

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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