# THE MAGNOLIA FAMILY CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164333860
- **Authorized official:** BRITTANY BURAGE FNP (OWNER/PROVIDER)
- **Authorized official phone:** (601) 748-0112

## Contact information

- **Practice address:** 19 E LINCOLN RD NE STE H, BROOKHAVEN, MS 39601-8757
- **Practice address phone:** (601) 835-1882
- **Mailing address:** 19 E LINCOLN RD NE STE H, BROOKHAVEN, MS 39601-8757
- **Mailing address phone:** (601) 835-1882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2026
- **Last updated:** 09/14/2026