Organization
MAGNOLIA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN L SUMMERS D.O. (OWNER)
(228) 872-5551
Entity
Organization
Contact information
Practice address
3612 GROVELAND RD, OCEAN SPRINGS, MS 39564
(228) 872-5551
Mailing address
PO BOX 1797, OCEAN SPRINGS, MS 39566-1797
(228) 872-5551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16638
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015939
—
MS
Enumeration date
06/23/2005
Last updated
07/10/2007
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