Organization
MAGNOLIA FAMILY CLINIC
Active
Parent organization
MAGNOLIA REGIONAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Authorized official
MRS. DEONNE HENRY (EXECUTIVE DIRECTOR)
(662) 293-1076
Entity
Organization
Contact information
Practice address
82 MAIN ST, RIENZI, MS 38865-9144
(662) 293-6699
(662) 293-6698
Mailing address
401 ALCORN DR STE 2C, CORINTH, MS 38834-9073
(662) 293-7618
(662) 293-4358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/31/2017
Last updated
07/15/2022
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