Organization
PSP MEDICAL CLINIC
Active
Other names
Magnolia Medical Clinics, Gluckstadt Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PARVESH K. GOEL MD (MD)
(601) 707-5621
Entity
Organization
Contact information
Practice address
1082A GLUCKSTADT RD, MADISON, MS 39110-7243
(601) 707-5621
Mailing address
PO BOX 607, CANTON, MS 39046
(601) 859-9888
(601) 859-9966
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25D1087086
CLIA
MS
Enumeration date
09/28/2012
Last updated
04/06/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us