Individual
MAGNOLIA B LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
156 COUNTY ROAD 102, OXFORD, MS 38655-9617
(662) 629-2123
Mailing address
156 COUNTY ROAD 102, OXFORD, MS 38655-9617
(662) 629-2123
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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