# MAGNOLIA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1588660674
- **Authorized official:** EVAN L SUMMERS D.O. (OWNER)
- **Authorized official phone:** (228) 872-5551

## Contact information

- **Practice address:** 3612 GROVELAND RD, OCEAN SPRINGS, MS 39564
- **Practice address phone:** (228) 872-5551
- **Mailing address:** PO BOX 1797, OCEAN SPRINGS, MS 39566-1797
- **Mailing address phone:** (228) 872-5551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 16638 | MS | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 07/10/2007