Organization
NATIVE MAGNOLIA HOLISTIC CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KING NP (OWNER)
(662) 269-2532
Entity
Organization
Contact information
Practice address
2667 HIGHWAY 145, SALTILLO, MS 38866-9771
(662) 372-5308
Mailing address
2667 HIGHWAY 145, SALTILLO, MS 38866-9771
(662) 269-2532
(662) 601-2298
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/25/2025
Last updated
05/13/2026
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