Magnolia Dermatology, Pllc

NPI #1841645470 in Clinton, Mississippi

Provider Information

NPI Number: 1841645470
Entity Type: Organization
Organization Name: Magnolia Dermatology, Pllc
Primary Specialty: Dermatology
Enumeration Date: May 2, 2016
Last Updated: May 2, 2016

Practice Location

Address: 815 HIGHWAY 80 E
City: Clinton
State: Mississippi
ZIP Code: 39056-5252
Phone: (601) 910-3004

Authorized Official

Name: CHRISTIN COLLIER HURT, MD
Title: MEDICAL DOCTOR
Phone: (601) 910-3004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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