Organization
MAGNOLIA FAMILY CLINIC
Active
Parent organization
MAGNOLIA REGIONAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Authorized official
RONNY HUMES (CEO)
(662) 293-1000
Entity
Organization
Contact information
Practice address
102 NORMAN RD, CORINTH, MS 38834-9372
(662) 293-1000
Mailing address
102 NORMAN RD, CORINTH, MS 38834-9372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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