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Organization
MAGNOLIA INTERNAL MEDICINE CLINIC
Active
Organization
MAGNOLIA INTERNAL MEDICINE CLINIC
Active
Parent organization
MAGNOLIA REGIONAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Authorized official
DONALD R LLOYD (CPO)
(662) 287-6913
Entity
Organization
Contact information
Practice address
703 ALCORN DR, SUITE 102, CORINTH, MS 38834-9302
(662) 293-1000
Mailing address
703 ALCORN DR, SUITE 102, CORINTH, MS 38834-9302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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