Organization
MAGNOLIA SURGICAL CLINIC
Active
Parent organization
MAGNOLIA REGIONAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Authorized official
RONNY D HUMES (CEO)
(662) 293-7664
Entity
Organization
Contact information
Practice address
703 ALCORN DR, SUITE 102, CORINTH, MS 38834-9302
(662) 286-2522
(662) 293-4288
Mailing address
703 ALCORN DR, SUITE 102, CORINTH, MS 38834-9302
(662) 286-2522
(662) 293-4288
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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