Magnolia Medical Clinic LLC
NPI #1356179295 in Columbia, Mississippi
Provider Information
- NPI Number
- 1356179295
- Entity Type
- Organization
- Organization Name
- Magnolia Medical Clinic LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 23, 2024
- Last Updated
- Jul 23, 2024
Practice Location
- Address
- 431 BROAD ST
- City
- Columbia
- State
- Mississippi
- ZIP Code
- 39429-3056
- Phone
- (601) 736-8212
Authorized Official
- Name
- DR. KRISTYN BUMPERS, PHARM. D.
- Title
- PHARMACIST
- Phone
- (601) 441-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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