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Organization

MAGNOLIA PROFESSIONAL BILLING

Active
Parent organization
MAGNOLIA REGIONAL HEALTH CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Authorized official
HOWARD D NELSON (VP PHYSICIAN SERVICES)
(662) 293-7618
Entity
Organization

Contact information

Practice address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-1000
(662) 293-1683
Mailing address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-1000
(662) 293-1683

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
04/12/2017
Last updated
01/25/2019
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