Organization
MAGNOLIA PREMIER MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG DAMON HENRY APRN, FNP-C (FAMILY MEDICINE PROVIDER)
(601) 613-5681
Entity
Organization
Contact information
Practice address
1000 HIGHLAND COLONY PKWY STE 35203, RIDGELAND, MS 39157-2073
(601) 613-5682
(601) 372-3059
Mailing address
4366 S SIWELL RD, BYRAM, MS 39212-6213
(601) 613-5681
(601) 372-3059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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