Organization
MAGNOLIA PHYSICIAN SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD D. NELSON (VP PHYSICIAN SERVICES)
(662) 293-7649
Entity
Organization
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-7618
Mailing address
PO BOX 2040, CORINTH, MS 38835-2040
(662) 287-6913
(662) 287-2823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/27/2010
Last updated
01/23/2019
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