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Organization
MAGNOLIA PROFESSIONAL BILLING
Active
Organization
MAGNOLIA PROFESSIONAL BILLING
Active
Parent organization
MAGNOLIA REGIONAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Authorized official
HOWARD D NELSON (VP PHYSICIAN SERVICES)
(662) 293-7618
Entity
Organization
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-1000
(662) 293-1683
Mailing address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-1000
(662) 293-1683
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
01/25/2019
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