Magnolia Ear Nose & Throat

NPI #1881132124 in Corinth, Mississippi

Provider Information

NPI Number: 1881132124
Entity Type: Organization
Organization Name: Magnolia Ear Nose & Throat
Subpart: Yes (part of a larger organization)
Parent Organization: MAGNOLIA REGIONAL HEALTH CENTER
Primary Specialty: Otolaryngology
Enumeration Date: Feb 7, 2017
Last Updated: Jul 18, 2018

Practice Location

Address: 401 ALCORN DR
Address 2: SUITE 2 D
City: Corinth
State: Mississippi
ZIP Code: 38834
Phone: (662) 293-1565

Authorized Official

Name: RONNY HUMES
Title: CEO
Phone: (662) 293-7664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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