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Organization
NATIVE MAGNOLIA HOLISTIC CARE CLINIC LLC
Active
Organization
NATIVE MAGNOLIA HOLISTIC CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KING NP (OWNER)
(662) 269-2532
Entity
Organization
Contact information
Practice address
2667 HIGHWAY 145, SALTILLO, MS 38866-9771
(662) 372-5308
Mailing address
2667 HIGHWAY 145, SALTILLO, MS 38866-9771
(662) 269-2532
(662) 601-2298
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/25/2025
Last updated
05/13/2026
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