Organization
PSP MEDICAL CLINIC
Active
Other names
Flowood Family Clinic, Magnolia Medical Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
PARVESH K. GOEL MD (MD)
(601) 859-9888
Entity
Organization
Contact information
Practice address
2629 COURTHOUSE CIR, FLOWOOD, MS 39232-9521
(601) 420-4300
(601) 420-4310
Mailing address
PO BOX 607, CANTON, MS 39046
(601) 859-9888
(601) 859-9966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25D2047948
CLIA
MS
Enumeration date
01/31/2012
Last updated
04/06/2021
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