Magnolia General and Vascular Surgery Clinic

NPI #1982009031 in Corinth, Mississippi

Provider Information

NPI Number: 1982009031
Entity Type: Organization
Organization Name: Magnolia General and Vascular Surgery Clinic
Primary Specialty: Surgery
Enumeration Date: Oct 31, 2014
Last Updated: May 14, 2021

Practice Location

Address: 611 ALCORN DR STE 210
City: Corinth
State: Mississippi
ZIP Code: 38834-9323
Phone: (662) 284-9910

Authorized Official

Name: MR. HOWARD NELSON
Title: VP PHYSAICIAN SERVICES
Phone: (662) 293-7618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Surgery	208600000X	Primary

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