Magnolia Professional Associates

NPI #1366463549 in Corinth, Mississippi

Provider Information

NPI Number: 1366463549
Entity Type: Organization
Organization Name: Magnolia Professional Associates
Primary Specialty: Surgery
Enumeration Date: Jul 22, 2006
Last Updated: May 14, 2021

Practice Location

Address: 703 ALCORN DRIVE
Address 2: 109
City: Corinth
State: Mississippi
ZIP Code: 38834-9323
Phone: (662) 286-2522

Authorized Official

Name: JASON COLEY
Title: EXECUTIVE DIRECTOR PHYSICIAN SERVIC
Phone: (662) 293-7678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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