Organization
MAGNOLIA INTERNAL MEDICINE CLINIC
Active
Parent organization
MAGNOLIA REGIONAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Authorized official
DONALD R LLOYD (CPO)
(662) 287-6913
Entity
Organization
Contact information
Practice address
703 ALCORN DR, SUITE 102, CORINTH, MS 38834-9302
(662) 293-1000
Mailing address
703 ALCORN DR, SUITE 102, CORINTH, MS 38834-9302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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