Organization
MAGNOLIA URGENT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFFORD EUGENE BAKER NP (NURSE PRACTITIONER)
(601) 928-2798
Entity
Organization
Contact information
Practice address
2201 HIGHWAY 49 STE B, WIGGINS, MS 39577-8012
(601) 928-2798
(601) 928-2790
Mailing address
2201 HIGHWAY 49 STE B, WIGGINS, MS 39577-8012
(601) 928-2798
(601) 928-2790
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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