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Organization
MAGNOLIA URGENT CARE
Active
Organization
MAGNOLIA URGENT CARE
Active
Parent organization
MAGNOLIA REGIONAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Authorized official
MR. RONNY HUMES (CEO)
(662) 293-7664
Entity
Organization
Contact information
Practice address
703 ALCORN DR, SUITE 109, CORINTH, MS 38834-9302
(662) 286-1499
(662) 286-9041
Mailing address
703 ALCORN DR, SUITE 109, CORINTH, MS 38834-9302
(662) 286-1499
(662) 286-9041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
05/31/2016
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