Organization
MAGNOLIA MEDICAL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICA THOMPSON (EXECUTIVE DIRECTOR)
(601) 613-3737
Entity
Organization
Contact information
Practice address
1230 RAYMOND RD STE 600, JACKSON, MS 39204-4579
(601) 613-3737
Mailing address
1230 RAYMOND RD STE 600, JACKSON, MS 39204-4579
(601) 613-3737
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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