# MAGNOLIA ANESTHESIOLOGY ASSOCIATES, P.A.

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

## Provider details

- **NPI number:** 1780665547
- **Authorized official:** MRS. MISTY STRICKLAND (ADMINISTRATOR)
- **Authorized official phone:** (662) 665-0457

## Contact information

- **Practice address:** 401 ALCORN DR, CORINTH, MS 38834-9067
- **Practice address phone:** (662) 665-0457
- **Practice address fax:** (662) 665-0458
- **Mailing address:** PO BOX 24023, JACKSON, MS 39225-4023
- **Mailing address phone:** (622) 662-6650
- **Mailing address fax:** (622) 665-0458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09015115 | — | MS |