Magnolia Regional Community Care Clinic

NPI #1639338577 in Corinth, Mississippi

Provider Information

NPI Number: 1639338577
Entity Type: Organization
Organization Name: Magnolia Regional Community Care Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: MAGNOLIA REGIONAL HEALTH CENTER
Primary Specialty: Internal Medicine
Enumeration Date: Jun 5, 2008
Last Updated: May 14, 2021

Practice Location

Address: 703 ALCOM DRIVE
Address 2: 109
City: Corinth
State: Mississippi
ZIP Code: 38834-9302
Phone: (662) 293-1680

Authorized Official

Name: MR. HOWARD D. NELSON
Title: VP PHYSICAIN SERVICES
Phone: (662) 293-7618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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