Organization
MAGNOLIA CARDIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNY D. HUMES (CEO/ME)
(662) 293-7664
Entity
Organization
Contact information
Practice address
611 ALCORN DR, 230, CORINTH, MS 38834-9323
(662) 287-5218
(662) 286-3186
Mailing address
401 ALCORN DR STE 2C, CORINTH, MS 38834-9073
(662) 293-7618
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
11/22/2011
Last updated
05/14/2021
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