Ms Magnolia Medical,llc

NPI #1386304129 in Laurel, Mississippi

Provider Information

NPI Number: 1386304129
Entity Type: Organization
Organization Name: Ms Magnolia Medical,llc
Primary Specialty: General Practice
Enumeration Date: Dec 21, 2021
Last Updated: Jul 22, 2022

Practice Location

Address: 516 N MAGNOLIA ST
City: Laurel
State: Mississippi
ZIP Code: 39440-3559
Phone: (601) 422-5990

Authorized Official

Name: BRITTANY A RATCLIFF
Title: CREDENTIALING
Phone: (601) 433-5679

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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