# MAGNOLIA SAGE DIRECT PRIMARY CARE

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

## Provider details

- **NPI number:** 1184534448
- **Authorized official:** PATRICIA CAMPBELL MD (OWNER)
- **Authorized official phone:** (601) 248-7770

## Contact information

- **Practice address:** 1716 EVELYN GANDY PKWY STE 10, HATTIESBURG, MS 39401-1313
- **Practice address phone:** (601) 248-7770
- **Mailing address:** 1716 EVELYN GANDY PKWY STE 10, HATTIESBURG, MS 39401-1313
- **Mailing address phone:** (601) 248-7770

## Taxonomy

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

## Other

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