Magnolia Medical Center

NPI #1588660674 in Ocean Springs, Mississippi

Provider Information

NPI Number: 1588660674
Entity Type: Organization
Organization Name: Magnolia Medical Center
Primary Specialty: Internal Medicine
Enumeration Date: Jun 23, 2005
Last Updated: Jul 10, 2007

Practice Location

Address: 3612 GROVELAND RD
City: Ocean Springs
State: Mississippi
ZIP Code: 39564
Phone: (228) 872-5551

Authorized Official

Name: EVAN L SUMMERS, D.O.
Title: OWNER
Phone: (228) 872-5551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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