Magnolia Medical, LLC
NPI #1467320713 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1467320713
- Entity Type
- Organization
- Organization Name
- Magnolia Medical, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 28, 2025
- Last Updated
- Oct 28, 2025
Practice Location
- Address
- 109 CLERMONT CT
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-0003
- Phone
- (662) 321-3709
Authorized Official
- Name
- PAMELA DIANNE CLEGG-ALDERMAN, FNP-BC
- Title
- OWNER
- Phone
- (662) 321-3709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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