Magnolia Medical Group P a

NPI #1942413216 in Jackson, Mississippi

Provider Information

NPI Number: 1942413216
Entity Type: Organization
Organization Name: Magnolia Medical Group P a
Primary Specialty: Internal Medicine
Enumeration Date: May 7, 2007
Last Updated: May 15, 2013

Practice Location

Address: 971 LAKELAND DR
Address 2: SUITE 400
City: Jackson
State: Mississippi
ZIP Code: 39216-4643
Phone: (601) 981-9545

Authorized Official

Name: DR. ROSIE WALKER-MCNAIR, MD
Title: OWNER
Phone: (601) 981-9545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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