Organization
PSP MEDICAL CLINIC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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