Organization
MAGNOLIA BRACE & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH IGNATIUS (PRESIDENT)
(601) 543-5634
Entity
Organization
Contact information
Practice address
824 ROBIN CIR, HATTIESBURG, MS 39402-6037
(601) 543-5634
(601) 599-6360
Mailing address
824 ROBIN CIR, HATTIESBURG, MS 39402-6037
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/19/2007
Last updated
08/07/2007
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