Organization
MAGNOLIA REGIONAL COMMUNITY CARE 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 D. NELSON (VP PHYSICAIN SERVICES)
(662) 293-7618
Entity
Organization
Contact information
Practice address
703 ALCOM DRIVE, 109, CORINTH, MS 38834-9302
(662) 293-1680
(662) 293-1595
Mailing address
401 ALCORN DR STE 2C, CORINTH, MS 38834-9073
(662) 293-7618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
05/14/2021
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