Organization
MAGNOLIA NEPHROLOGY CLINIC
Active
Parent organization
MAGNOLIA REGIONAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Authorized official
MR. HOWARD NELSON (VP PHYSICIAN SERVICES)
(662) 293-7618
Entity
Organization
Contact information
Practice address
3704 HIGHWAY 72 W, CORINTH, MS 38834-8556
(662) 665-8041
(662) 665-8049
Mailing address
401 ALCORN DR STE 2C, CORINTH, MS 38834-9073
(662) 293-7618
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
01/23/2019
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