Organization
MAGNOLIA MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVASA JAMPANA MD (OWNER)
(662) 208-6234
Entity
Organization
Contact information
Practice address
391 SOUTHCREST CIR STE 209, SOUTHAVEN, MS 38671-6734
(662) 208-6234
(662) 208-6234
Mailing address
391 SOUTHCREST CIR STE 209, SOUTHAVEN, MS 38671-6734
(662) 208-6234
(662) 208-6234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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