# PHC-CLEVELAND INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851565170
- **Authorized official:** KATHY TEAGUE (VICE PRESIDENT, CORPORATE SECRETARY)
- **Authorized official phone:** (629) 253-5121

## Contact information

- **Practice address:** 1 HOSPITAL DRIVE, CLEVELAND, MS 38732-2425
- **Practice address phone:** (662) 721-1208
- **Mailing address:** 1 HOSPITAL DRIVE, CLEVELAND, MS 38732-2425
- **Mailing address phone:** (662) 721-1208

## Taxonomy

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

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 03/11/2024