Magnolia Internal Medicine

NPI #1912443722 in Corinth, Mississippi

Provider Information

NPI Number
1912443722
Entity Type
Organization
Organization Name
Magnolia Internal Medicine
Subpart
Yes (part of a larger organization)
Parent Organization
MAGNOLIA REGIONAL HEALTH CENTER
Primary Specialty
Internal Medicine
Enumeration Date
Jan 18, 2017
Last Updated
Jan 18, 2017

Practice Location

Address
2000 E SHILOH RD
ZIP Code
38834-3724
Phone
(662) 293-1000

Authorized Official

Name
MR. RONNY HUMES
Title
CHIEF EXECUTIVE OFFICER
Phone
(662) 293-7664

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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