Organization
SU CLINICA CORINTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE MACIAS NP (NP)
(662) 415-9425
Entity
Organization
Contact information
Practice address
504 S TATE ST, CORINTH, MS 38834-5532
(662) 415-9425
Mailing address
504 S TATE ST, CORINTH, MS 38834-5532
(662) 415-9425
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
11/03/2025
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