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Organization

MAGNOLIA REGIONAL BEHAVIORAL HEALTH SERVICES

Active
Parent organization
MAGNOLIA REGIONAL HEALTH CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Authorized official
MR. HOWARD NELSON (VP PHYSICIAN SERVICES)
(662) 293-7618
Entity
Organization

Contact information

Practice address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-1000
Mailing address
401 ALCORN DR STE 2C, CORINTH, MS 38834-9073
(662) 293-7618

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
01/31/2017
Last updated
01/23/2019
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