Magnolia Er Providers

NPI #1891233078 in Corinth, Mississippi

Provider Information

NPI Number: 1891233078
Entity Type: Organization
Organization Name: Magnolia Er Providers
Subpart: Yes (part of a larger organization)
Parent Organization: MAGNOLIA REGIONAL HEALTH CENTER
Primary Specialty: Emergency Medicine
Enumeration Date: Feb 7, 2017
Last Updated: Dec 9, 2020

Practice Location

Address: 611 ALCORN DR
City: Corinth
State: Mississippi
ZIP Code: 38834-9321
Phone: (662) 293-1175

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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