Magnolia Primary Care

NPI #1437685278 in Corinth, Mississippi

Provider Information

NPI Number
1437685278
Entity Type
Organization
Organization Name
Magnolia Primary Care
Subpart
Yes (part of a larger organization)
Parent Organization
MAGNOLIA REGIONAL HEALTH CENTER
Primary Specialty
General Practice
Enumeration Date
May 11, 2017
Last Updated
Jan 23, 2019

Practice Location

Address
202 ALCORN DR
ZIP Code
38834-9701
Phone
(662) 287-4481

Authorized Official

Name
RONNY D. HUMES
Title
CHIEF EXECUTIVE OFFICER
Phone
(662) 293-7664

Specialties & Taxonomy Codes

Specialty
General Practice

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